raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:495875

Cerebello-oculo-facio-genital syndrome

Synonyms: Congenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome · COFG syndrome · Congenital agenesis of labia majora or scrotum-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by global developmental delay, intellectual disability, absent scrotum or labia majora, absent or underdeveloped nipples and a tuft of hair extruding from the lactiferous ducts, bilateral corneal opacities, and dysmorphic craniofacial features (microcephaly, short forehead, and ear abnormalities, among others). Patients also show horizontal nystagmus and ataxic gait. Brain MRI reveals small cerebellar hemispheres and vermis and a small pons.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCerebello-oculo-facio-genital syndromeCongenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome · COFG syndrome · Congenital agenesis of labia majora or scrotum-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome
frSyndrome cérébello-oculo-facio-génitalSyndrome d'agénésie congénitale du scrotum ou grandes lèvres-malformation cérébelleuse-dystrophie cornéenne-dysmorphie faciale · Syndrome COFG
deZerebro-okulo-fazio-genitales SyndromCOFG-Syndrom · Kongenitale labioskrotale Agenesie-zerebelläre Fehlbildung-Hornhautdystrophie-Gesichtsdysmorphie-Syndrom · Kongenitale Agenesie der Labia majora oder des Scrotums-zerebelläre Fehlbildung-Hornhautdystrophie-Gesichtsdysmorphie-Syndrom
esSíndrome cerebelo-óculo-facio-genitalSíndrome COFG · Síndrome congénito de agenesia labioescrotal-malformación cerebelosa-distrofia corneal-dismorfia facial · Síndrome congénito de agenesia de labios mayores o escroto-malformación cerebelosa-distrofia corneal-dismorfia facial
itSindrome cerebellare-oculo-facio-genitaleSindrome agenesia labioscrotale congenita - malformazioni cerebellari - distrofia della cornea - dismorfismi faciali · Sindrome COFG · Sindrome agenesia congenita delle grandi labbra o dello scroto-malformazione cerebellare-distrofia corneale-dismorfismi facciali
nlCerebello-oculofaciogenitaal syndroomCOFG-syndroom · Congenitaal agenesie van labia majora of scrotum - cerebellaire malformatie - corneadystrofie - faciale dysmorfie-syndroom · Congenitaal labioscrotale agenesie - malformatie van cerebellum - corneadystrofie - faciale dysmorfie-syndroom
ptSíndrome de agenesia labioescrotal congénita-malformação cerebelosa-distrofia córnea-dismorfia facialSíndrome de agenesia dos grandes lábios ou escroto congénita-malformação cerebelosa-distrofia córnea-dismorfia facial
plZespół wrodzonej agenezji fałdu wargowomosznowego-malformacji móżdżku-dystrofii rogówki-dysmorfii twarzy= en
csSyndrom zahrnující labioskrotální agenezi, malformace mozečku, korneální dystrofii a faciální dysmorfismusCongenital agenesis of labia majora or scrotum-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome · Syndrom zahrnující vrozenou agenezi velkých stydkých pysků nebo šourku, mozečkovou malformaci, rohovkovou dystrofii a obličejový dysmorfismus
ukСиндром вродженої лабіоскротальної агенезії-мальформації мозочка-дистрофії рогівки- дизморфізму обличчяСиндром вродженого агенезу великих статевих губ або мошонки - мозочкової мальформації - дистрофії рогівки - дизморфізму обличчя
zh先天性阴囊发育不全-小脑畸形-角膜营养不良-面部畸形综合征先天性大阴唇或阴囊发育不全-小脑畸形-角膜营养不良-面部畸形综合征
trDoğumsal labioskrotal agenezis-serebellar malformasyon-korneal distrofi-fasiyal dismorfizm sendromuDoğumsal agenezis labia majora veya skrotum-serebellar malformasyon-korneal distrofi-fasiyal dismorfizm sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618479Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0044643Evalidated
UMLSC5567455Evalidated

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 (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MAB21L1Disease-causing germline mutation(s) inAssessedHGNC:6757ENSG0000018066060128013q13.3mab-21 like 130487245[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated27075597[PMID]_27103078[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27075597[PMID]_27103078[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.

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HPO phenotypes

52 annotations · validated 2020-01-15
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008729Absence of labia majora
HP:0008707Absent scrotum
HP:0011229Broad eyebrow
HP:0000280Coarse facial features
HP:0001131Corneal dystrophy
HP:0007957Corneal opacity
HP:0000028Cryptorchidism
HP:0000666Horizontal nystagmus
HP:0000294Low anterior hairline
HP:0000350Small forehead
HP:0045075Sparse eyebrow
Frequent (79-30%)
HP:0000478Abnormality of the eye
HP:0000463Anteverted nares
HP:0002136Broad-based gait
HP:0000557Buphthalmos
HP:0001320Cerebellar vermis hypoplasia
HP:0001305Dandy-Walker malformation
HP:0005280Depressed nasal bridge
HP:0001007Hirsutism
HP:0012110Hypoplasia of the pons
HP:0000047Hypospadias
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0001097Keratoconjunctivitis sicca
HP:0000343Long philtrum
HP:0000369Low-set ears
HP:0011343Moderate global developmental delay
HP:0002465Poor speech
HP:0002172Postural instability
HP:0011344Severe global developmental delay
HP:0000486Strabismus
HP:0000664Synophrys
HP:0011825Tented philtrum
HP:0000505Visual impairment
Occasional (29-5%)
HP:0000718Aggressive behavior
HP:0001545Anteriorly placed anus
HP:0007018Attention deficit hyperactivity disorder
HP:0000455Broad nasal tip
HP:0001321Cerebellar hypoplasia
HP:0040171Decreased serum testosterone concentration
HP:0002020Gastroesophageal reflux
HP:0000064Hypoplastic labia minora
HP:0000527Long eyelashes
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0000609Optic nerve hypoplasia
HP:0000107Renal cyst
HP:0002000Short columella
HP:0000470Short neck
HP:0001350Slurred speech
HP:0025405Visual fixation instability
HP:0006610Wide intermamillary distance

Run the differential on the 11 obligate / very frequent terms

Annotation source: 27103078[PMID]_30487245[PMID]

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Sources for this card