raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:500545

Severe neurodevelopmental disorder with feeding difficulties-stereotypic hand movement-bilateral cataract

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

A rare pervasive developmental disorder characterized by microcephaly, profound developmental delay, intellectual disability, bilateral cataracts, severe epilepsy including infantile spasms, hypotonia, irritability, feeding difficulties leading to failure to thrive, and stereotypic hand movements. The disease manifests in infancy. Brain imaging reveals delay in myelination and cerebral atrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere neurodevelopmental disorder with feeding difficulties-stereotypic hand movement-bilateral cataract
frTrouble neurologique du développement sévère avec troubles de l'alimentation-mouvements stéréotypés des mains-cataracte bilatérale
deSchwere neurologische Entwicklungsstörung mit Fütterproblemen-stereotype Handbewegungen-bilateraler Katarakt
esTrastorno grave del neurodesarrollo con dificultades para alimentarse-movimientos estereotipados de las manos-cataratas bilaterales
itGrave alterazione dello sviluppo neurologico con difficoltà di alimentazione-movimenti stereotipati delle mani-cataratta bilaterale
nlErnstige neurologische ontwikkelingsstoornissen met voedingsproblemen - stereotiepe handbewegingen - bilateraal cataract
ptPerturbação do neurodesenvolvimento grave com dificuldades de alimentação-movimento estereotipado da mão-catarata bilateral
plCiężkie zaburzenie neurorozwojowe z trudnościami w odżywianiu, stereotypiami dłoni oraz obustronną zaćmą
csZávažná neurovývojová porucha s obtížným krmením, stereotypickými pohyby rukou a bilaterální kataraktou
ukТяжкі порушення нейророзвитку з труднощами при годуванні - стереотипні рухи рук - двостороння катаракта
zh严重的神经发育障碍伴有喂养困难-手部刻板运动-双侧白内障
trBeslenme güçlüğü-stereotipik el hareketi-bilateral katarakt ile seyreden ağır nörogelişimsel bozukluk

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617393Evalidated
ICD-10F84.8NTBTattributedvalidated
MONDO0044306Evalidated
UMLSC5568106Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NACC1Disease-causing germline mutation(s) inAssessedHGNC:20967ENSG0000016087761067219p13.13nucleus accumbens associated 128132692[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated28132692[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28132692[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

23 annotations · validated 2020-01-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001508Failure to thrive
HP:0008872Feeding difficulties in infancy
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0000737Irritability
HP:0001250Seizure
HP:0012171Stereotypical hand wringing
Frequent (79-30%)
HP:0002521Hypsarrhythmia
HP:0002187Intellectual disability, profound
HP:0010864Intellectual disability, severe
HP:0000252Microcephaly
HP:0002360Sleep abnormality
Occasional (29-5%)
HP:0005949Apneic episodes in infancy
HP:0000455Broad nasal tip
HP:0002059Cerebral atrophy
HP:0012430Cerebral white matter hypoplasia
HP:0012448Delayed myelination
HP:0002376Developmental regression
HP:0001371Flexion contracture
HP:0001118Juvenile cataract
HP:0040288Nasogastric tube feeding
HP:0002650Scoliosis
HP:0001257Spasticity

Run the differential on the 7 obligate / very frequent terms

Annotation source: 28132692[PMID]

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Sources for this card