raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:477749

Pontine autosomal dominant microangiopathy with leukoencephalopathy

Synonyms: PADMAL

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

A rare genetic cerebral small vessel disease characterized by recurrent ischemic strokes, often with a predilection for the pons, with typical onset in the fourth or fifth decade of life. Patients present progressive cognitive and motor impairment with pyramidal, bulbar, and cerebellar symptoms, among others. Brain imaging shows multiple lacunar infarcts, typically with involvement of the pons, as well as variable leukoencephalopathy of the cerebral hemispheres.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPontine autosomal dominant microangiopathy with leukoencephalopathyPADMAL
frMicroangiopathie cérébrale pontine autosomique dominanteMicroangiopathie cérébrale pontine autosomique dominante avec leucoencéphalopathie · PADMAL
dePontine autosomal-dominante Mikroangiopathie mit Leukoenzephalopathie= en
esMicroangiopatía pontina autosómica dominante con leucoencefalopatía= en
itMicroangiopatia pontina autosomica dominante con leucoencefalopatia
nlPontiene autosomaal dominante microangiopathie met leuko-encefalopathie= en
ptMicroangiopatia pontica autossómica dominante com leucoencefalopatia
plAutosomalna dominująca mikroangiopatia mostu z leukoencefalopatią= en
csAutozomálně dominantní pontinní mikroangiopatie s leukoencefalopatií= en
ukПонтинна аутосомно-домінантна мікроангіопатія з лейкоенцефалопатією= en
zh常染色体显性脑桥微血管病合并白质病= en
trÖkoensefalopati ile seyreden pontin otozomal dominant mikroanjiyopati= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618564Evalidated
ICD-10I67.8NTBTattributedvalidated
MONDO0032814Evalidated
UMLSC5231411Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COL4A1Disease-causing germline mutation(s) inAssessedHGNC:2202ENSG0000018749812013013q34collagen type IV alpha 1 chain27666438[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families11 casesWorldwideCase(s)Validated19187480[PMID]_27666438[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_19187480[PMID]_27666438[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

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Sources for this card