raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:572013

Posterior-predominant lissencephaly-broad flat pons and medulla-midline crossing defects syndrome

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

A rare genetic syndrome with a central nervous system malformation as a major feature, characterized by cortical malformations including posterior predominant lissencephaly and diffuse pachygyria, as well as midline crossing defects, thin corpus callosum, dysplastic hippocampi, narrowing of the brainstem with small pons and midbrain, widening of the medulla, and small cerebellum. Clinically, patients present global developmental delay, severe intellectual disability with poor or absent speech, axial hypotonia, and early-onset seizures, among others.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPosterior-predominant lissencephaly-broad flat pons and medulla-midline crossing defects syndrome
frSyndrome de lissencéphalie à prédominance postérieure-pont et moelle allongée larges et plats-défauts de croisement de la ligne médiane
deVorwiegend posteriore Lissenzephalie mit breiter flacher Pons und Medulla-MittelliniendefektLissenzephalie Typ 9 mit komplexer Hirnstammfehlbildung
esSíndrome de lisencefalia posterior-puente aplanado y defecto de cruce de la línea media medular
itSindrome lissencefalia prevalentemente posteriore, allargamento e appiattimento del ponte e del midollo, difetti dell'incrocio della linea mediana
nlOverwegend posterieure lissencefalie - brede en platte pons en medulla oblongata - defecten van overschrijden van de middellijn-syndroom
ptSíndrome de lisencefalia predominantemente posterior-ponte e medula ampla e achatada-defeitos de decussação da linha média
plZespół płaskiego szerokiego mostu pnia mózgu z tylną lizencefalią i wadami poprzecznymi rdzenia w linii środkowej
csSyndrom posteriorně-predominantní lisencefalie, širokého plochého mostu a míchy a defektů křížících střední čáru
ukСиндром задньо-переважаючої лісенцефалії-широкого плоского моста та дефектів перетину серединної лінії мозку
zh后部-明显无脑回畸形-宽平脑桥延髓-中线交叉缺损综合征
trPosterior-predominant lizensefali-geniş düz pons ve medulla-orta hat geçiş defektleri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618325BTNTvalidated
OMIM618873BTNTvalidated
ICD-10Q04.8NTBTattributedvalidated
MONDO0032677Evalidated
UMLSC5780029Evalidated

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 (3):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CEP85LDisease-causing germline mutation(s) inAssessedHGNC:21638ENSG000001118606188656q22.31centrosomal protein 85L32097630[PMID]
MACF1Disease-causing germline mutation(s) inAssessedHGNC:13664ENSG000001276036082711p34.3microtubule actin crosslinking factor 130471716[PMID]_24507697[PMID]_24932993[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated30471716[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30471716[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

20 annotations · validated 2022-09-15
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0025100Abnormal hippocampus morphology
HP:0030301Abnormality of the anterior commissure
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0008936Axial hypotonia
HP:0010864Intellectual disability, severe
HP:0012758Neurodevelopmental delay
HP:0001302Pachygyria
Frequent (79-30%)
HP:0002015Dysphagia
HP:0004305Involuntary movements
HP:0000486Strabismus
HP:0033725Thin corpus callosum
Occasional (29-5%)
HP:0000733Abnormal repetitive mannerisms
HP:0100704Cerebral visual impairment
HP:0000324Facial asymmetry
HP:0002827Hip dislocation
HP:0012469Infantile spasms
HP:0032794Myoclonic seizure
HP:0000011Neurogenic bladder
HP:0000609Optic nerve hypoplasia
HP:0001257Spasticity

Run the differential on the 7 obligate / very frequent terms

Annotation source: 30471716[PMID]_33511591[PMID]

7

Sources for this card