raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:83420

Proximal spinal muscular atrophy type 4

Synonyms: SMA type 4 · SMA type IV · SMA-IV · SMA4 · Spinal muscular atrophy, adult form

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

A rare genetic motor neuron disorder characterized by degeneration of alpha motor neurons in the spinal cord and lower brainstem. Proximal spinal muscular atrophy (SMA) type 4 is a rare subtype which manifests after 18 years of age with mild proximal muscle weakness.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enProximal spinal muscular atrophy type 4SMA type 4 · SMA type IV · SMA-IV · SMA4 · Spinal muscular atrophy, adult form
frAmyotrophie spinale proximale type 4SMA4 · Amyotrophie spinale proximale de l'adulte · SMA type 4 · SMA type IV
deSpinale Muskelatrophie, proximale, Typ 4SMA Typ 4 · SMA Typ IV · SMA-IV · SMA4 · Spinale Muskelatrophie, adulte
esAtrofia muscular espinal proximal tipo 4AME tipo 4 · AME tipo IV · AME-IV · AME4 · Atrofia muscular espinal del adulto · SMA tipo 4 · SMA tipo IV · SMA-IV · SMA4
itAtrofia muscolare spinale prossimale, tipo 4Atrofia muscolare spinale, forma dell'adulto · SMA, tipo 4 · SMA, tipo IV · SMA-IV · SMA4
nlProximale spinale spieratrofie type 4Proximale spinale musculaire atrofie type 4 · SMA type 4 · SMA type IV · SMA-IV · SMA4 · Spinale musculaire atrofie, volwassen vorm · Spinale spieratrofie, volwassen vorm
ptAtrofia muscular espinhal proximal tipo 4Atrofia muscular espinhal do adulto
plRdzeniowy zanik mięśni typu 4Rdzeniowy zanik mięśni, postać dorosła · SMA typu 4 · SMA typu IV · SMA4 · SMA-IV
csProximální spinální svalová atrofie, typ 4SMA typ 4 · SMA typ IV · SMA-IV · SMA4 · Spinální svalová atrofie, adultní forma
ukПроксимальна спінальна мязова атрофія, тип 4SMA тип 4 · SMA типу IV · SMA4 · SMA-IV · Спинальна мязова атрофія, доросла форма
zh近端脊髓肌萎缩4型成年型脊髓性肌萎缩症
trProksimal spinal kas atrofisi tip 4SMA4 · SMA-IV · SMA tip 4 · SMA tip IV · Spinal kas atrofisi, Erişkin formu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM271150Evalidated
ICD-10G12.1NTBTinclusionvalidated
ICD-118B61.3Especificvalidated
MONDO0010056Evalidated
MeSHC563948Evalidated
UMLSC1838230Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SMN1Disease-causing germline mutation(s) inAssessedHGNC:11117ENSG000001720626003545q13.2survival of motor neuron 1, telomeric20301526[PMID]
SMN2Modifying germline mutation inAssessedHGNC:11118ENSG000002055716016275q13.2survival of motor neuron 2, centromeric20301526[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidenceUnknown—EuropeClass onlyValidatedORPHANET
Point prevalenceUnknown—EuropeClass onlyValidatedORPHANET

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