raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:529665

Neurodevelopmental delay-seizures-ophthalmic anomalies-osteopenia-cerebellar atrophy syndrome

Synonyms: GPAA1-related biosynthesis defect

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

A rare, genetic, syndromic intellectual disability characterized by global developmental delay, early-onset seizures, cerebellar atrophy, osteopenia, nystagmus and dysmorphic facial features, including bitemporal narrowing, prominent forehead, anteverted nares. Dysarthria, dysmetria, ataxic gait, spasticity and dysmorphic features have also been associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNeurodevelopmental delay-seizures-ophthalmic anomalies-osteopenia-cerebellar atrophy syndromeGPAA1-related biosynthesis defect
frRetard du développement neurologique-épilepsie-anomalies ophtalmiques-ostéopénie-atrophie cérébelleuseDéfaut de biosynthèse associé à GPAA1
deNeurologische Entwicklungsverzögerung-Krampfanfälle-Augenanomalien-Osteopenie-zerebelläre Atrophie-SyndromGPAA1-assoziierter Biosynthesedefekt
esSíndrome de retraso del neurodesarrollo-crisis-anomalías oftálmicas-osteopenia-atrofia cerebelosaDefecto de biosíntesis asociado a GPAA1
itSindrome ritardo del neurosviluppo-crisi epilettiche-anomalie oculari-osteopenia-atrofia cerebellare
nlNeurologische ontwikkelingsachterstand - insulten - oftalmische anomalieën - osteopenie - cerebellaire atrofie-syndroomGPAA1-gerelateerd biosynthesedefect
ptSíndrome de perturbação do neurodesenvolvimento-convulsões-anomalias oftalmológicas-osteopenia-atrofia cerebelosaDefeito da biossíntese GPAA1-relacionado
plZespół atrofii móżdżkowej, osteopenii, wad wzroku, drgawek i opóźnienia neurorozwojowego= en
csSyndrom zahrnující neurovývojové opoždění, záchvaty, oční anomálie, osteopenii a atrofii mozečkuDefekt GPAA1-vázané biosyntézy
ukСиндром затримки нервового розвитку-судом-офтальмологічних аномалій-остеопенії-атрофії мозочкаДефект біосинтезу, повязаний з GPAA1
zh神经发育迟缓-癫痫-眼球异常-骨质疏松-小脑萎缩综合征GPAA1相关生物合成缺陷
trNörogelişme geriliği-nöbetler-oftalmik anomaliler-osteopeni-serebellar atrofi sendromuGPAA1-ilişkili biyosentez defekti

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617810Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0060627Evalidated
UMLSC4540520Evalidated

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
GPAA1Disease-causing germline mutation(s) inAssessedHGNC:4446ENSG000001978586030488q24.3glycosylphosphatidylinositol anchor attachment 129100095[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated29100095[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29100095[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 2019-04-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002353EEG abnormality
HP:0001250Seizure
Frequent (79-30%)
HP:0000463Anteverted nares
HP:0002069Bilateral tonic-clonic seizure
HP:0000455Broad nasal tip
HP:0001272Cerebellar atrophy
HP:0001321Cerebellar hypoplasia
HP:0000750Delayed speech and language development
HP:0003698Difficulty standing
HP:0001260Dysarthria
HP:0001310Dysmetria
HP:0002066Gait ataxia
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0001347Hyperreflexia
HP:0000316Hypertelorism
HP:0001256Intellectual disability, mild
HP:0000545Myopia
HP:0000341Narrow forehead
HP:0012758Neurodevelopmental delay
HP:0000639Nystagmus
HP:0000657Oculomotor apraxia
HP:0000938Osteopenia
HP:0000939Osteoporosis
HP:0011220Prominent forehead
HP:0001257Spasticity
HP:0001337Tremor
Very rare (<4-1%)
HP:0000648Optic atrophy
HP:0002133Status epilepticus
HP:0000505Visual impairment
Excluded (0%)
HP:0003155Elevated circulating alkaline phosphatase concentration

Run the differential on the 2 obligate / very frequent terms

Annotation source: 29100095[PMID]

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Sources for this card