raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:488632

TBCK-related encephalopathy-severe hypotonia-craniofacial dysmorphism syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare multiple congenital anomalies/dysmorphic syndrome characterized by profound intellectual disability with absent speech, severe infantile hypotonia with decreased or absent reflexes, markedly slow motor development (with no progress beyond the ability to sit independently), early-onset epilepsy, strabismus and post-natal onset of progressive brain atrophy (including loss of brain volume, ex vacuo ventriculomegaly, dysgenesis of corpus callosum, white matter abnormalities ranging from non-specific changes to leukodystrophy). Swallowing difficulties, respiratory insufficiency, osteoporosis and variable craniofacial dysmorphisms (including plagio/brachycephaly, bitemporal narrowing, high-arched eyebrows high nasal bridge, anteverted nares, high palate, tented upper lip) may constitute additional clinical features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTBCK-related encephalopathy-severe hypotonia-craniofacial dysmorphism syndrome
frSyndrome d'encéphalopathie-hypotonie sévère-dysmorphie craniofaciale associé à TBCK
deTBCK-assoziierte Enzephalopathie-schwere Hypotonie-kraniofaziale Dysmorphie-SyndromTBCK-Syndrom
esSíndrome de encefalopatía-hipotonía grave-dismorfia craneofacial asociado a TBCK
itDisabilità intellettiva correlata a TBCK
nlTBCK-gerelateerde encefalopathie - ernstige hypotonie - craniofaciale dysmorfie-syndroom
ptSíndrome de encefalopatia-hipotonia grave-dismorfia craniofacial TBCK-relacionada
plZespół niepełnosprawności intelektualnej związany z TBCK
csSyndrom TBCK-vázané mentální retardace
ukСиндром інтелектуальної недостатності, повязаний з TBCK
zhTBCK相关智力障碍综合征
trTBCK -ilişkili zihinsel yetersizlik sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616900Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD90.YNTBTattributednot yet validated
MONDO0014823Evalidated
UMLSC5567480Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TBCKDisease-causing germline mutation(s) inAssessedHGNC:28261ENSG000001453486168994q24TBC1 domain containing kinase27040691[PMID]_27040692[PMID]_27275012[PMID]_27748029[PMID]_18541960[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)Validated27748029[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27748029[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

73 annotations · validated 2020-01-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003444EMG: chronic denervation signs
HP:0001319Neonatal hypotonia
HP:0003323Progressive muscle weakness
HP:0006829Severe muscular hypotonia
Frequent (79-30%)
HP:0003119Abnormal circulating lipid concentration
HP:0001999Abnormal facial shape
HP:0002518Abnormal periventricular white matter morphology
HP:0001284Areflexia
HP:0000280Coarse facial features
HP:0000750Delayed speech and language development
HP:0002283Global brain atrophy
HP:0002079Hypoplasia of the corpus callosum
HP:0002540Inability to walk
HP:0031165Multifocal seizures
HP:0001315Reduced tendon reflexes
HP:0002093Respiratory insufficiency
HP:0001250Seizure
HP:0011344Severe global developmental delay
HP:0003202Skeletal muscle atrophy
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0000337Broad forehead
HP:0000414Bulbous nose
HP:0100543Cognitive impairment
HP:0002750Delayed skeletal maturation
HP:0002376Developmental regression
HP:0011198EEG with generalized epileptiform discharges
HP:0100288EMG: myokymic discharges
HP:0000286Epicanthus
HP:0002705High, narrow palate
HP:0001007Hirsutism
HP:0002045Hypothermia
HP:0000821Hypothyroidism
HP:0009826Limb undergrowth
HP:0000256Macrocephaly
HP:0000158Macroglossia
HP:0000939Osteoporosis
HP:0000767Pectus excavatum
HP:0002650Scoliosis
HP:0000340Sloping forehead
HP:0010804Tented upper lip vermilion
HP:0000574Thick eyebrow
HP:0001629Ventricular septal defect
Very rare (<4-1%)
HP:000087811 pairs of ribs
HP:00046912-3 toe syndactyly
HP:0012547Abnormal involuntary eye movements
HP:0002099Asthma
HP:0000717Autism
HP:0007302Bipolar affective disorder
HP:0001500Broad finger
HP:0001837Broad toe
HP:0011734Central adrenal insufficiency
HP:0030084Clinodactyly
HP:0007957Corneal opacity
HP:0000028Cryptorchidism
HP:0000824Decreased response to growth hormone stimulation test
HP:0000490Deeply set eye
HP:0001540Diastasis recti
HP:0000964Eczematoid dermatitis
HP:0000836Hyperthyroidism
HP:0000343Long philtrum
HP:0000303Mandibular prognathia
HP:0000252Microcephaly
HP:0000011Neurogenic bladder
HP:0000639Nystagmus
HP:0001562Oligohydramnios
HP:0005487Prominent metopic ridge
HP:0001642Pulmonic stenosis
HP:0000407Sensorineural hearing impairment
HP:0000470Short neck
HP:0000486Strabismus
HP:0000664Synophrys
HP:0000582Upslanted palpebral fissure
HP:0000431Wide nasal bridge

Run the differential on the 4 obligate / very frequent terms

Annotation source: 29283439[PMID]_27748029[PMID]_25558065[PMID]_27040691[PMID]

7

Sources for this card