raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:88639

Neurodegeneration due to 3-hydroxyisobutyryl-CoA hydrolase deficiency

Synonyms: HIBCH deficiency · Methacrylic aciduria · Valine metabolic defect

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

Neurodegeneration due to 3-hydroxyisobutyryl-CoA hydrolase deficiency is characterised by delayed motor development, hypotonia and progressive neurodegeneration. To date, it has been described in four boys. The syndrome is caused by mutations affecting the two alleles of the <i> HIBCH</i> gene, encoding 3-hydroxyisobutyryl-CoA hydrolase. The mode of transmission has not yet been established.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNeurodegeneration due to 3-hydroxyisobutyryl-CoA hydrolase deficiencyHIBCH deficiency · Methacrylic aciduria · Valine metabolic defect
frNeurodégénérescence par déficit en 3-hydroxyisobutyryl-CoA hydrolaseAcidurie méthacrylique · Déficit en HIBCH · Trouble du métabolisme de la valine
deNeurodegeneration durch 3-Hydroxyisobutyryl-CoA-Hydrolase-MangelHIBCH-Mangel · Metabolischer Valin-Defekt · Methacrylat-Azidurie
esNeurodegeneración por deficiencia en 3-hidroxisobutiril-CoA-hidrolasaAciduria metacrílica · Defecto metabólico de la valina · Deficiencia de HIBCH
itNeurodegenerazione da deficit di 3-idrossi-isobutirril-CoA idrolasiAciduria metacrilica · Deficit di HIBCH · Difetto del metabolismo della valina
nlNeurodegeneratie door deficiëntie van 3-hydroxyisobutyryl-CoA-hydrolaseDefect van metabolisme van valine · HIBCH-deficiëntie · Methacrylacidurie
ptNeurodegenerescência por deficiência da 3-hidroxi-isobutiril-CoA hidrolase
plNeurodegeneracja spowodowana niedoborem hydrolazy 3-hydroksyizobutyrylo-CoAAcyduria metakrylowa · Defekt metabolizmu waliny · Niedobór HIBCH
csNeurodegenerace způsobená deficitem 3-hydroxyisobutyryl-CoA hydrolázyDeficit HIBCH · Metakrylová acidurie · Porucha metabolismu valinu
ukНейродегенерація внаслідок дефіциту 3-гідроксиізобутирил-КоА-гідролазиДефіцит HIBCH · Метакрилова ацидурія · Дефект обміну валіну
zh3-羟基异丁酰-辅酶A水解酶缺乏所致神经退行性病变缬氨酸代谢障碍
tr3-hidroksiizobütiril-KoA hidrolaz eksikliğine bağlı nörodejenerasyonHIBCH eksikliği · Metakrilik asidüri · Valin metabolik defekti

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM250620Evalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0009603Evalidated
MeSHC562803Evalidated
UMLSC0342738Evalidated
GARD13202Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HIBCHDisease-causing germline mutation(s) inAssessedHGNC:4908ENSG000001981306106902q32.23-hydroxyisobutyryl-CoA hydrolase17160907[PMID]_24299452[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated29703962[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29703962[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

31 annotations · validated 2019-07-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001332Dystonia
HP:0001252Hypotonia
HP:0001270Motor delay
HP:0002344Progressive neurologic deterioration
HP:0002013Vomiting
Frequent (79-30%)
HP:0003468Abnormal vertebral morphology
HP:0003287Abnormality of mitochondrial metabolism
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0000286Epicanthus
HP:0011334Facial shape deformation
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0001347Hyperreflexia
HP:0002521Hypsarrhythmia
HP:0002151Increased circulating lactate concentration
HP:0012469Infantile spasms
HP:0001942Metabolic acidosis
HP:0000639Nystagmus
HP:0001250Seizure
HP:0002360Sleep abnormality
HP:0000486Strabismus
HP:0002078Truncal ataxia
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0000028Cryptorchidism
HP:0001298Encephalopathy
HP:0000737Irritability
HP:0002352Leukoencephalopathy
HP:0002093Respiratory insufficiency
HP:0012697Small basal ganglia
Very rare (<4-1%)
HP:0002599Head titubation
HP:0001636Tetralogy of Fallot

Run the differential on the 5 obligate / very frequent terms

Annotation source: 24299452[PMID]_25251209[PMID]_26163321[PMID]_7122152[PMID]

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Sources for this card