raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:505216

3-methylglutaconic aciduria type 9

Synonyms: 3-methylglutaconic aciduria-epilepsy-spasticity-severe intellectual disability syndrome · MGA9

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

A rare organic aciduria characterized by early onset of global developmental delay with severe intellectual disability, seizures, and 3-methylglutaconic aciduria. Additional features are hypotonia, hyperactivity and aggressive behavior, optic atrophy, or spasticity. Brain imaging may show generalized cerebral atrophy and white matter abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en3-methylglutaconic aciduria type 93-methylglutaconic aciduria-epilepsy-spasticity-severe intellectual disability syndrome · MGA9
frAcidurie 3-méthylglutaconique type 9AMG9 · MGA9 · Syndrome d'acidurie 3-méthylglutaconique-épilepsie-spasticité-déficience intellectuelle
de3-Methylglutaconazidurie Typ 93-Methylglutaconazidurie-Epilepsie-Spastik-schwere Intelligenzminderung-Syndrom · MGA9
esAciduria 3-metilglutacónica tipo 9MGA9 · Síndrome de aciduria 3-metilglutacónica-epilepsia-espasticidad-discapacidad intelectual grave
itAciduria 3-metilglutaconica tipo 9
nl3-methylglutaconacidurie type 93-methylglutaconacidurie - epilepsie - spasticiteit - ernstige intellectuele achterstand-syndroom · MGA9
ptAcidúria 3-metilglutacónica tipo 9
plKwasica 3-metyloglutakonowa typ 9Zespół kwasicy 3-metyloglutakonowej, padaczki, spastyczności i znacznej niepełnosprawności intelektualnej
cs3-metylglutakonová acidurie, typ 9MGA9 · Syndrom zahrnující 3-metylglutakonovou acidurii, epilepsii, spasticitu a těžkou mentální retardaci
uk3-метилглутаконова ацидурія, тип 9Синдром 3-метилглутаконової ацидурії - епілепсії - спастичності - тяжкої інтелектуальної недостатності · MGA9
zh3-甲基戊二酸尿症9型3-甲基戊二酸尿症-癫痫-痉挛-严重智力障碍综合症
tr3-metilglutakonik asidüri tip 9MGA9 · 3-metilglutakonik asidüri-epilepsi-spastisite-ağır zihinsel yetersizlik sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617698Evalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTattributedvalidated
MONDO0044724Evalidated
UMLSC4540171Evalidated

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
TIMM50Disease-causing germline mutation(s) inAssessedHGNC:23656ENSG0000010519760738119q13.2translocase of inner mitochondrial membrane 5027573165[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated27573165[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27573165[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

25 annotations · validated 2019-04-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:00035353-Methylglutaconic aciduriaDiagnostic criterion
HP:0002167Abnormality of speech or vocalization
HP:0000718Aggressive behavior
HP:0002059Cerebral atrophy
HP:0002169Clonus
HP:0011925Decreased activity of mitochondrial ATP synthase complexDiagnostic criterion
HP:0031936Delayed ability to walk
HP:0002194Delayed gross motor development
HP:0007204Diffuse white matter abnormalities
HP:0002353EEG abnormality
HP:0001298Encephalopathy
HP:0001508Failure to thrive
HP:0001252Hypotonia
HP:0002151Increased circulating lactate concentration
HP:0010864Intellectual disability, severe
HP:0001324Muscle weakness
HP:0001533Slender build
HP:0002133Status epilepticus
Occasional (29-5%)
HP:0001344Absent speech
HP:0001347Hyperreflexia
HP:0002521Hypsarrhythmia
HP:0000648Optic atrophy
HP:0001250Seizure
HP:0001257Spasticity
HP:0000020Urinary incontinence

Run the differential on the 12 obligate / very frequent terms

Annotation source: 27573165[PMID]

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Sources for this card