raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:564178

Primary hypomagnesemia-refractory seizures-intellectual disability syndrome

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

A rare genetic disorder of magnesium transport characterized by infantile onset of generalized seizures and severe hypomagnesemia due to massive renal magnesium wasting. Seizures persist despite magnesium supplementation and are associated with significant global developmental delay and intellectual disability. Brain MRI may show reduced cerebral volume.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary hypomagnesemia-refractory seizures-intellectual disability syndrome
frSyndrome d'hypomagnésémie primaire-épilepsie réfractaire-déficience intellectuelle
deSyndrom der primären Hypomagnesiämie mit refraktären Krämpfen und Intelligenzminderung
esSíndrome de hipomagnesemia primaria-epilepsia refractaria-discapacidad intelectual
itSindrome da ipomagnesemia primitiva, crisi epilettiche refrattarie e disabilità intellettiva
nlPrimaire hypomagnesiëmie - refractaire insulten - intellectuele achterstand-syndroom
ptSíndrome de hipomagnesemia primária-convulsões refratárias-perturbação do desenvolvimento intelectual
plPierwotna hipomagnezemia z napadami opornymi na leczenie i niepełnosprawnością intelektualną
csPrimární hypomagnezémie s refrakterními záchvaty a mentální retardací
ukСиндром первинної гіпомагніємії-рефрактерних судом-інтелектуальної недостатності
zh原发性低镁血症伴难治性癫痫发作和智力障碍
trRefrakter nöbetler ve zihinsel yetersizlik ile seyreden primer hipomagnezemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618314Evalidated
ICD-10E83.4NTBTattributedvalidated
ICD-11GB90.4YNTBTattributedvalidated
UMLSC5681271Evalidated

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 (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ATP1A1Disease-causing germline mutation(s) inAssessedHGNC:799ENSG000001633991823101p13.1ATPase Na+/K+ transporting subunit alpha 130388404[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30388404[PMID]
Cases/families3 casesWorldwideCase(s)Validated30388404[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

12 annotations · validated 2020-08-26
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000729Autistic behavior
HP:0006872Cerebral hypoplasia
HP:0002194Delayed gross motor development
HP:0012726Episodic hypokalemia
HP:0002197Generalized-onset seizure
HP:0001263Global developmental delay
HP:0002917Hypomagnesemia
HP:0000121Nephrocalcinosis
HP:0002465Poor speech
HP:0005567Renal magnesium wasting
HP:0000128Renal potassium wasting
HP:0002133Status epilepticus

Annotation source: 30388404[PMID]

7

Sources for this card