raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:480898

Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome is a rare, genetic, neurological disorder characterized by mild to severe developmental delay and speech impairment, truncal hypotonia, abnormalities of vision (including cortical visual impairment and abnormal visual-evoked potentials), progressive brain atrophy mainly affecting the cerebellum, and shortened or atrophic corpus callosum. Other clinical findings may include increased muscle tone in the extremities, dystonic posturing, hyporeflexia, scoliosis, postnatal microcephaly and variable facial dysmorphism (e.g. deep-set eyes, gingival hyperplasia, short philtrum and retrognathia).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGlobal developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome
frSyndrome de retard global de développement-anomalies visuelles-atrophie cérébelleuse progressive-hypotonie axiale
deGlobale Entwicklungsverzögerung-Sehanomalien-progressive zerebelläre Atrophie-trunkale Hypotonie-Syndrom
esSíndrome de retraso global del desarrollo-anomalías visuales-atrofia cerebelosa progresiva-hipotonía truncal
itSindrome da ritardo dello sviluppo globale, anomalie della vista, atrofia cerebellare progressiva e ipotonia del tronco
nlAlgehele ontwikkelingsachterstand - visuele anomalieën - progressieve cerebellaire atrofie - truncale hypotonie-syndroom
ptSíndrome de perturbação do desenvolvimento global-anomalias visuais-atrofia cerebelosa progressiva-hipotonia axial
plZespół całościowego opóźnienia w rozwoju, wad wzroku, postępującego zaniku móżdżku i hipotonii tułowia
csSyndrom zahrnující vývojové opoždění, abnormality zraku, progresivní mozečkovou atrofii a trunkální hypotonii
ukГлобальна затримка розвитку - аномалії зору - прогресуюча атрофія мозочка - синдром гіпотонії стовбура головного мозку
zh全面发育迟缓-视觉异常-进行性小脑萎缩-横断性肌张力低下综合征
trYaygın gelişme geriliği-görme anomalileri-ilerleyici serebellar atrofi-trunkal hipotoni sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616875Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0018822Evalidated
UMLSC5567522Evalidated

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

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EMC1Disease-causing germline mutation(s) inAssessedHGNC:28957ENSG000001274636168461p36.13ER membrane protein complex subunit 126942288[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated26942288[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26942288[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

31 annotations · validated 2020-01-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0007371Corpus callosum atrophy
HP:0000490Deeply set eye
HP:0000750Delayed speech and language development
HP:0100275Diffuse cerebellar atrophy
HP:0001263Global developmental delay
HP:0000278Retrognathia
Frequent (79-30%)
HP:0000649Abnormality of visual evoked potentials
HP:0002059Cerebral atrophy
HP:0031954Dystonic gait
HP:0000212Gingival overgrowth
HP:0001265Hyporeflexia
HP:0002187Intellectual disability, profound
HP:0002509Limb hypertonia
HP:0000253Progressive microcephaly
HP:0001212Prominent fingertip pads
HP:0002650Scoliosis
HP:0000322Short philtrum
Occasional (29-5%)
HP:0000377Abnormal pinna morphology
HP:0002023Anal atresia
HP:0000483Astigmatism
HP:0100704Cerebral visual impairment
HP:0002353EEG abnormality
HP:0000565Esotropia
HP:0008755Laryngotracheomalacia
HP:0000294Low anterior hairline
HP:0000347Micrognathia
HP:0000545Myopia
HP:0000648Optic atrophy
HP:0000486Strabismus
HP:0001045Vitiligo

Run the differential on the 7 obligate / very frequent terms

Annotation source: 26942288[PMID]

7

Sources for this card