raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:599376

Hypomyelination of early myelinating structures

Synonyms: HEMS

Type
Disease
Group
Disorder
Inheritance
X-linked dominant
Age of onset
Infancy
Status
active

A rare genetic neurological disorder characterized by hypomyelination of early myelinating structures such as the brainstem, cerebellar white matter, optic radiation, and periventricular white matter, while structures acquiring myelin later are better myelinated. Patients present in infancy with nystagmus, developmental delay, and progressive ataxic-spastic or ataxic syndrome. Cognitive functions are normal or only mildly impaired.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHypomyelination of early myelinating structuresHEMS
frHypomyélinisation des structures myélinisantes précoces= en
deHypomyelinisierung der früh myelinisierenden Strukturen
esHipomielinización de estructuras milelinizadas a temprana edad= en
itIpomielinizzazione delle strutture a mielinizzazione precoce= en
nlHypomyelinisatie van vroeg myeliniserende structuren= en
ptHipomielinização de estruturas mielizadas precocemente= en
plHipomielinizacja struktur z wczesnym wytwarzaniem mieliny= en
csHypomyelinizace časných myelinizovaných struktur= en
ukГіпомієлінізація ранніх мієлінізуючих структур= en
zhHypomyelination of early myelinating structures= en
trHypomyelination of early myelinating structures= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G37.8NTBTattributedvalidated
MONDO0035398Evalidated
UMLSC5680278Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PLP1Disease-causing germline mutation(s) inAssessedHGNC:9086ENSG00000123560300401Xq22.2proteolipid protein 126125040[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated26125040[PMID]_33450882[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated26125040[PMID]_33450882[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.

7

Sources for this card