raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:83473

Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome

Synonyms: MPPH syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Infancy, Neonatal
Status
active

A rare syndrome with a central nervous system malformation as a major feature characterized by macrocephaly, megalencephaly, bilateral perisylvian polymicrogyria, variable degrees of ventriculomegaly/hydrocephalus, developmental delay and intellectual disability, oromotor dysfunction, hypotonia, seizures, and dysmorphic facial features (such as frontal bossing, low-set ears, a flat nasal bridge, and high-arched palate). Postaxial polydactyly of one or more extremities is also common.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMegalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndromeMPPH syndrome
frSyndrome de mégalencéphalie-polymicrogyrie-polydactylie post-axiale-hydrocéphalieSyndrome MPPH
deMegalenzephalie-Polymikrogyrie-postaxiale Polydaktylie-Hydrozephalus-SyndromMPPH-Syndrom
esSíndrome de megalencefalia-polimicrogiria-polidactilia postaxial-hidrocefaliaSíndrome MPPH
itSindrome megalencefalia-polimicrogiria-polidattilia postassiale-idrocefaloSindrome MPPH
nlMegalencefalie - polymicrogyrie - postaxiale polydactylie - hydrocefalus-syndroomMPPH-syndroom
ptSíndrome de megalencefalia-polimicrogiria-polidactilia pós-axial-hidrocefaliaSíndrome MPPH
plMózg olbrzymi - polimikrogyria - polidaktylia zaosiowa - wodogłowieZespół MPPH
csSyndrom zahrnující megalencefalii, polymikrogyrii, postaxiální polydaktylii a hydrocefalusMPPH syndrom
ukСиндром мегаленцефалії-полімікрогірії-постаксіальної полідактилії-гідроцефаліїСиндром MPPH
zh巨脑-多小脑回-轴后性多指症-脑积水综合征MPPH综合征
trMegalensefali-polimikrogri-postaksiyal polidaktili-hidrosefali sendromuMPPH sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM603387BTNTvalidated
OMIM615937BTNTvalidated
OMIM615938BTNTvalidated
ICD-10Q04.8NTBTattributedvalidated
MONDO0019375Evalidated
UMLSC4302893Evalidated
GARD10341Evalidated

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 (4):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CCND2Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:1583ENSG0000011897112383312p13.32cyclin D224705253[PMID]
AKT3Disease-causing germline mutation(s) inAssessedHGNC:393ENSG000001170206112231q43-q44AKT serine/threonine kinase 322729224[PMID]
PIK3R2Disease-causing germline mutation(s) inAssessedHGNC:8980ENSG0000010564760315719p13.11phosphoinositide-3-kinase regulatory subunit 222729224[PMID]
PIK3R2Disease-causing somatic mutation(s) inAssessedHGNC:8980ENSG0000010564760315719p13.11phosphoinositide-3-kinase regulatory subunit 226520804[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families62 casesWorldwideCase(s)Validated27854409[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27854409[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.

6

HPO phenotypes

16 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000238Hydrocephalus
HP:0000256Macrocephaly
HP:0001355Megalencephaly
HP:0002126Polymicrogyria
HP:0001162Postaxial hand polydactyly
Frequent (79-30%)
HP:0001671Abnormal cardiac septum morphology
HP:0100542Abnormal localization of kidney
HP:0005105Abnormal nasal morphology
HP:0005280Depressed nasal bridge
HP:0000348High forehead
HP:0000316Hypertelorism
HP:0001653Mitral regurgitation
HP:0000160Narrow mouth
HP:0001250Seizure
HP:0000506Telecanthus
HP:0001629Ventricular septal defect

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card