raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:641353

Infantile neurodegeneration-progressive spasticity-intellectual disability-white matter lesions syndrome

Synonyms: HPDL-related Leigh-like encephalopathy · HPDL-related infantile neurodegeneration-progressive spasticity-intellectual disability-white matter lesions syndrome

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

A rare genetic neurological syndrome of variable severity characterized by progressive spasticity affecting predominantly the lower limbs. Most patients manifest global developmental delay, moderate to severe intellectual disability and white matter abnormalities in infancy complicated by variable features including seizures, episodic respiratory failure, joint contractures and ocular problems. Some patients have normal early development until later childhood followed by regression in motor, cognitive and language skills over time. Some patients manifest only spastic paraplegia.

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Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enInfantile neurodegeneration-progressive spasticity-intellectual disability-white matter lesions syndromeHPDL-related Leigh-like encephalopathy · HPDL-related infantile neurodegeneration-progressive spasticity-intellectual disability-white matter lesions syndrome
frSyndrome de neurodégénération infantile-spasticité progressive-déficience intellectuelle-lésions de la substance blancheEncéphalopathie de type Leigh liée à HPDL · Syndrome de neurodégénération infantile-spasticité progressive-déficience intellectuelle-lésions de la substance blanche lié à HPDL
deInfantile Neurodegeneration-progressive Spastik-Intelligenzminderung-Läsionen der weißen Substanz-SyndromHPDL-assoziierte Leigh-ähnliche Enzephalopathie · HPDL-assoziierte infantile Neurodegeneration mit progressiver Spastik, Intelligenzminderung und Läsionen der weißen Substanz
esSíndrome infantil de neurodegeneración-espasticidad progresiva-discapacidad intelectual-lesiones de la sustancia blancaEncefalopatía similar a Leigh asociada a HPDL · Encefalopatía similar a Leigh asociada al gen HPDL · Síndrome infantil de neurodegeneración-espasticidad progresiva-discapacidad intelectual-lesiones de la sustancia blanca asociado a HPDL · Síndrome infantil de neurodegeneración-espasticidad progresiva-discapacidad intelectual-lesiones de la sustancia blanca asociado al gen HPDL
itSindrome degenerazione neurologica infantile-spasticità progressiva-disabilità intellettiva-lesioni della sostanza biancaEncefalopatia simil-Leigh correlata a HPDL · Sindrome degenerazione neurologica infantile-spasticità progressiva-disabilità intellettiva-lesioni della sostanza bianca correlata a HPDL
nlInfantiele neurodegeneratie - progressieve spasticiteit - intellectuele achterstand - laesies van witte stof-syndroomHPDL-gerelateerd infantiele neurodegeneratie - progressieve spasticiteit - intellectuele achterstand - laesies van witte stof-syndroom · HPDL-gerelateerde Leigh-achtige encefalopathie
ptSíndrome de neurodegeneração infantil-espasticidade progressiva-perturbação do desenvolvimento intelectual-lesões da substância brancaEncefalopatia Leigh-like HPDL-relacionada · Síndrome de neurodegeneração infantil-espasticidade progressiva-perturbação do desenvolvimento intelectual-lesões da substância branca HPDL-relacionada
plZespół niemowlęcej neurodegeneracji - postępującej spastyczności - niepełnosprawności intelektualnej ze zmianami w istocie białej= en
csSyndrom zahrnující neurodegeneraci, progresivní spasticitu, mentální retardaci a léze bílé hmoty projevující se v dětském věku= en
ukІнфантильний синдром нейродегенерації-прогресуючої спастичності-інтелектуальної недостатності-ураження білої речовиниHPDL-повязаний синдром дитячої нейродегенерації-прогресуючої спастичності-інтелектуальної недостатності- ураження білої речовини · Лі-подібна енцефалопатія, повязана з HPDL

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM619026Evalidated
ICD-10G93.4NTBTattributedvalidated
MONDO0033613Evalidated
UMLSC5816791Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HPDLDisease-causing germline mutation(s) inAssessedHGNC:28242ENSG000001866036189941p34.14-hydroxyphenylpyruvate dioxygenase like33188300[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families32 casesWorldwideCase(s)Validated35985664[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated35985664[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.

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HPO phenotypes

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

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Sources for this card