raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:7

3C syndrome

Synonyms: Craniocerebellocardiac dysplasia · Ritscher-Schinzel syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive, X-linked recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

Cranio-cerebello-cardiac (3C) syndrome is a rare multiple congenital anomalies syndrome characterized by craniofacial (prominent occiput and forehead, hypertelorism, ocular coloboma, cleft palate), cerebellar (Dandy-Walker malformation, cerebellar vermis hypoplasia) and cardiac (tetralogy of Fallot, atrial and ventricular septal defects) anomalies.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en3C syndromeCraniocerebellocardiac dysplasia · Ritscher-Schinzel syndrome
frSyndrome 3CDysplasie cranio-cérébello-cardiaque · Syndrome de Ritscher-Schinzel
de3C-SyndromDysplasie, kardiale kraniozerebelläre · Ritscher-Schinzel-Syndrom
esSíndrome 3CDisplasia craneo-cerebelo-cardíaca · Síndrome de Ritscher Schinzel
itSindrome 3CDisplasia cranio-cerebello-cardiaca · Sindrome di Ritscher-Schinzel
nl3C-syndroomCranio-cerebello-cardiale dysplasie · Syndroom van Ritscher-Schinzel
ptSíndrome 3CDisplasia cranio-cerebelo-cardíaca · Síndrome Ritscher-Schinzel
plZespół 3CDysplazja czaszkowo - mózgowo - sercowa · Zespół Ritschera i Schinzela
cs3C syndromKraniocerebelokardiální dysplázie · Ritscherův-Schinzelův syndrom · Ritscher-Schinzelův syndrom
ukСиндром 3СКраніоцеребеллокардіальна дисплазія · Синдром Рітшера-Шинцеля
zh3C综合征颅脑小脑心血管发育不全
tr3C sendromuRitscher-Schinzel sendromu · Kraniyoserebellokardiyak displazi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM220210BTNTvalidated
OMIM300963BTNTvalidated
OMIM619135BTNTvalidated
OMIM619435BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0019078Evalidated
MeSHC535313Evalidated
UMLSC0796137Evalidated
GARD5666Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CCDC22Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:28909ENSG00000101997300859Xp11.23CCC complex scaffolding subunit CCDC2224916641[PMID]
DPYSL5Disease-causing germline mutation(s) inAssessedHGNC:20637ENSG000001578516083832p23.3dihydropyrimidinase like 533894126[PMID]
VPS35LDisease-causing germline mutation(s) inAssessedHGNC:24641ENSG0000010354461898116p12.3VPS35 endosomal protein sorting factor like31712251[PMID]
WASHC5Disease-causing germline mutation(s) inAssessedHGNC:28984ENSG000001649616106578q24.13WASH complex subunit 524065355[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)Validated18957854[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_18957854[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.

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HPO phenotypes

64 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002167Abnormality of speech or vocalization
HP:0000235Abnormality of the fontanelles or cranial sutures
HP:0001305Dandy-Walker malformation
HP:0002007Frontal bossing
HP:0001263Global developmental delay
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0001633Abnormal mitral valve morphology
HP:0001702Abnormal tricuspid valve morphology
HP:0001650Aortic valve stenosis
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0001631Atrial septal defect
HP:0006695Atrioventricular canal defect
HP:0000175Cleft palate
HP:0001522Death in infancy
HP:0005280Depressed nasal bridge
HP:0000494Downslanted palpebral fissures
HP:0002705High, narrow palate
HP:0000238Hydrocephalus
HP:0004383Hypoplastic left heart
HP:0002808Kyphosis
HP:0000369Low-set ears
HP:0000256Macrocephaly
HP:0000269Prominent occiput
HP:0001642Pulmonic stenosis
HP:0002205Recurrent respiratory infections
HP:0002650Scoliosis
HP:0003196Short nose
HP:0004322Short stature
HP:0001636Tetralogy of Fallot
HP:0001629Ventricular septal defect
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0002269Abnormality of neuronal migration
HP:0003272Abnormality of the hip bone
HP:0000835Adrenal hypoplasia
HP:0002023Anal atresia
HP:0006709Aplasia/Hypoplasia of the nipples
HP:0001156Brachydactyly
HP:0000567Chorioretinal coloboma
HP:0004397Ectopic anus
HP:0000329Facial hemangioma
HP:0008872Feeding difficulties in infancy
HP:0006101Finger syndactyly
HP:0002020Gastroesophageal reflux
HP:0000501Glaucoma
HP:0001161Hand polydactyly
HP:0002937Hemivertebrae
HP:0000126Hydronephrosis
HP:0008736Hypoplasia of penis
HP:0001804Hypoplastic fingernail
HP:0000047Hypospadias
HP:0000023Inguinal hernia
HP:0002566Intestinal malrotation
HP:0000612Iris coloboma
HP:0000347Micrognathia
HP:0000921Missing ribs
HP:0000648Optic atrophy
HP:0000202Orofacial cleft
HP:0008897Postnatal growth retardation
HP:0000384Preauricular skin tag
HP:0000470Short neck
HP:0001195Single umbilical artery

Run the differential on the 9 obligate / very frequent terms

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Sources for this card