raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:70595

Sensory ataxic neuropathy-dysarthria-ophthalmoparesis syndrome

Synonyms: SANDO

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

A rare mitochondrial disease characterized by adult onset of the triad of sensory ataxic neuropathy, dysarthria, and ophthalmoparesis. Additional signs and symptoms are highly variable and include myopathy, seizures, and hearing loss, among others. Brain imaging may show cerebellar white matter abnormalities and/or bilateral thalamic lesions.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSensory ataxic neuropathy-dysarthria-ophthalmoparesis syndromeSANDO
frSyndrome d'ataxie neuropathique sensorielle-dysarthrie-ophtalmoplégie= en
deSensorische ataktische Neuropathie-Dysarthrie-Ophthalmoparese-SyndromSANDO · SANDO-Syndrom · Syndrom der sensorischen ataktischen Neuropathie, Dysarthrie und Ophthalmoparese
esSíndrome de neuropatía atáxica sensitiva-disartria-oftalmoplejía= en
itSindrone neuropatia atassica sensoriale-disartria-oftalmoparesi= en
nlSensorische ataxische neuropathie - dysartrie - oftalmoparese-syndroom= en
ptSíndrome de neuropatia sensorial atáxica-disartria-oftalmoparésia= en
plNeuropatia czuciowa - dyzartria - oftalmopareza= en
csSenzoataktická ataktická neuropatie s dysartrií a oftalmoparézou= en
ukСиндром сенсорної атактичної нейропатії-дизартрії-офтальмопарезу= en
zh感觉神经共济失调性神经病-构音障碍-眼肌麻痹综合征= en
trDuyusal ataksik nöropati-dizartri-oftalmoparezi sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607459Evalidated
ICD-10G71.3NTBTattributedvalidated
ICD-115C53.21NTBTindexvalidated
MONDO0011835Evalidated
MeSHC537583Evalidated
UMLSC1843851Evalidated
GARD9998Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TWNKCandidate gene tested inNot yet assessedHGNC:1160ENSG0000010781560607510q24.31twinkle mtDNA helicase15668446[PMID]
POLGDisease-causing germline mutation(s) inAssessedHGNC:9179ENSG0000014052117476315q26.1DNA polymerase gamma, catalytic subunit12565911[PMID]_16919951[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

31 annotations · validated 2019-01-16
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0031422Abnormal morphology of the cerebellar cortex
HP:0012696Abnormal thalamic MRI signal intensity
HP:0001751Abnormal vestibular function
HP:0007344Atrophy/Degeneration involving the spinal cord
HP:0008619Bilateral sensorineural hearing impairment
HP:0001260DysarthriaDiagnostic criterion
HP:0002066Gait ataxia
HP:0001265Hyporeflexia
HP:0006858Impaired distal proprioception
HP:0002495Impaired vibratory sensation
HP:0002151Increased circulating lactate concentration
HP:0003557Increased variability in muscle fiber diameter
HP:0001336Myoclonus
HP:0000639Nystagmus
HP:0000597OphthalmoparesisDiagnostic criterion
HP:0002403Positive Romberg sign
HP:0003701Proximal muscle weakness
HP:0000508Ptosis
HP:0003200Ragged-red muscle fibers
HP:0003434Sensory ataxic neuropathyDiagnostic criterion
HP:0025331Upgaze palsy
Occasional (29-5%)
HP:0001284Areflexia
HP:0000518Cataract
HP:0100543Cognitive impairment
HP:0000716Depression
HP:0001644Dilated cardiomyopathy
HP:0002578Gastroparesis
HP:0004389Intestinal pseudo-obstruction
HP:0002354Memory impairment
HP:0002076Migraine
HP:0001250Seizure

Annotation source: 15477547[PMID]_11571332[PMID]_9222196[PMID]

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Sources for this card