raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:597874

MTHFS-related developmental delay-microcephaly-short stature-epilepsy syndrome

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

A rare, genetic, neurometabolic disease characterized by microcephaly, short stature, epilepsy, cerebral hypomyelination, severe global developmental delay, and progressive spasticity. Macrocytic anemia and hyperthermia have also been reported in association. Brain imaging reveals delayed myelination with minimal progression over time, mild cerebellar atrophy and/or thin corpus callosum.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMTHFS-related developmental delay-microcephaly-short stature-epilepsy syndrome
frSyndrome de retard de développement-microcéphalie-petite taille-épilepsie associé à MTHFS
deMTHFS-assoziierte Entwicklungsverzögerung-Mikrozephalie-Kleinwuchs-Epilepsie-Syndrom
esSíndrome de retraso del desarrollo-microcefalia-talla baja-epilepsia asociado a MTHFS
itSindrome da ritardo dello sviluppo, microcefalia, bassa statura ed epilessia correlata a MTHFS
nlMTHFS-gerelateerd syndroom van ontwikkelingsachterstand - microcefalie - kleine gestalte - epilepsie
ptSíndrome de perturbação do desenvolvimento-microcefalia-baixa estatura-epilepsia MTHFS-relacionada
plZespół opóźnionego rozwoju, małogłowia, niskiego wzrostu oraz padaczki związany z MTHFS
csSyndrom zahrnující vývojové opoždění související s MTHFS, mikrocefalii, nízký vzrůst a epilepsii
ukMTHFS-повязаний синдром затримки розвитку-мікроцефалії-низькорослості-епілепсії
zhMTHFS-related developmental delay-microcephaly-short stature-epilepsy syndrome
trMTHFS-related developmental delay-microcephaly-short stature-epilepsy syndrome

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618367Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C50.YNTBTattributedvalidated
MONDO0032705Evalidated
UMLSC5193057Evalidated

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
MTHFSDisease-causing germline mutation(s) inAssessedHGNC:7437ENSG0000013637160419715q25.1methenyltetrahydrofolate synthetase30031689[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated30031689[PMID]_31844630[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated30031689[PMID]_31844630[PMID]_ORPHANET

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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card