raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:899

Walker-Warburg syndrome

Synonyms: HARD syndrome · Hydrocephalus-agyria-retinal dysplasia syndrome · WWS

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

A rare form of congenital muscular dystrophy (CMD) associated with severe brain and eye abnormalities. It is the most severe form of CMD.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWalker-Warburg syndromeHARD syndrome · Hydrocephalus-agyria-retinal dysplasia syndrome · WWS
frSyndrome de Walker-WarburgSyndrome HARD · Syndrome d'hydrocéphalie-agyrie-dysplasie rétinienne · WWS
deWalker-Warburg-SyndromHARD-Syndrom · Hydrozephalus-Agyrie-Retinadysplasie-Syndrom
esSíndrome de Walker-WarburgHidrocefalia-agiria-displasia retiniana · Síndrome HARD · Síndrome de hidrocefalia-agiria-displasia retiniana · WWS
itSindrome di Walker-WarburgIdrocefalo - agiria - displasia retinica · Sindrome HARD · Sindrome idrocefalo-agiria-displasia retinica · WWS
nlSyndroom van Walker-WarburgHARD-syndroom · Hydrocefalus - agyrie - retinadysplasie-syndroom · Hydrocefalus - agyrie - retinale dysplasie-syndroom · WWS
ptSíndrome Walker-WarburgSíndrome HARD · Síndrome de hidrocefalia-agiria-displasia da retina · WWS
plZespół Walkera i WarburgaWodogłowie - agyria - dysplazja rogówki · WWS · Zespół HARD · Zespół wodogłowie-agyria-dysplazja rogówki
csWalkerův-Warburgův syndromHARD syndrom · Syndrom zahrnující hydrocefalus, agyrii a retinální dysplázii · WWS · Walker-Warburgův syndrom
ukСиндром Уокера-ВарбургаСиндром HARD · Синдром гідроцефалії-агірії-дисплазії сітківки · WWS
zh沃克-沃伯格综合征脑积水-无脑回畸形-视网膜发育不良综合征
trWalker-Warburg sendromuWWS · HARD sendromu · Hidrosefali-agyria-retina displazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM236670NTBTvalidated
OMIM253280BTNTvalidated
OMIM253800BTNTvalidated
OMIM613150BTNTvalidated
OMIM613153BTNTvalidated
OMIM613154BTNTvalidated
OMIM614643BTNTvalidated
OMIM614830BTNTvalidated
OMIM615041BTNTvalidated
OMIM615181BTNTvalidated
OMIM615249BTNTvalidated
OMIM615287BTNTvalidated
OMIM616538BTNTvalidated
ICD-10G71.2NTBTattributedvalidated
ICD-118C70.6NTBTindexvalidated
MONDO0000171Evalidated
MeSHD058494Evalidated
UMLSC0265221Evalidated
GARD2599Evalidated

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 (10):

No children.

4

Genes

14 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COL4A1Candidate gene tested inNot yet assessedHGNC:2202ENSG0000018749812013013q34collagen type IV alpha 1 chain21625620[PMID]
B3GALNT2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:28596ENSG000001628856101941q42.3beta-1,3-N-acetylgalactosaminyltransferase 223453667[PMID]
B4GAT1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:15685ENSG0000017468460551711q13.2beta-1,4-glucuronyltransferase 123359570[PMID]
CRPPADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:37276ENSG000002149606146317p21.2CDP-L-ribitol pyrophosphorylase A22522420[PMID]
DAG1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:2666ENSG000001734021282393p21.31dystroglycan 125934851[PMID]
FKRPDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:17997ENSG0000018102760659619q13.32fukutin related protein20236121[PMID]
FKTNDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:3622ENSG000001066926074409q31.2fukutin18177472[PMID]_17878207[PMID]
POMGNT2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:25902ENSG000001446476148283p22.1protein O-linked mannose N-acetylglucosaminyltransferase 2 (beta 1,4-)22958903[PMID]
POMKDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:26267ENSG000001859006152478p11.21protein O-mannose kinase23519211[PMID]
POMT1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:9202ENSG000001307146074239q34.13protein O-mannosyltransferase 119880378[PMID]
POMT2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:19743ENSG0000000983060743914q24.3protein O-mannosyltransferase 219880378[PMID]
RXYLT1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:13530ENSG0000011860060586212q14.2ribitol xylosyltransferase 123217329[PMID]_23519211[PMID]
LARGE1Disease-causing germline mutation(s) inAssessedHGNC:6511ENSG0000013342460359022q12.3LARGE xylosyl- and glucuronyltransferase 121727005[PMID]_19299310[PMID]
POMGNT1Disease-causing germline mutation(s) inAssessedHGNC:19139ENSG000000859986068221p34.1protein O-linked mannose N-acetylglucosaminyltransferase 1 (beta 1,2-)19299310[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 0000.03 / 100 000United KingdomValue and classValidated19767415[PMID]
Prevalence at birth1-9 / 100 0001.65 / 100 000EuropeValue and classValidated[EXPERT]
Point prevalence1-9 / 1 000 000—EuropeClass onlyValidated[EXPERT]
Prevalence at birth1-9 / 100 0001.2 / 100 000ItalyValue and classValidated8786062[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

51 annotations · validated 2017-06-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012400Abnormal aldolase level
HP:0040081Abnormal circulating creatine kinase concentration
HP:0002536Abnormal cortical gyration
HP:0045040Abnormal lactate dehydrogenase activity
HP:0000587Abnormal optic nerve morphology
HP:0002269Abnormality of neuronal migration
HP:0002334Abnormality of the cerebellar vermis
HP:0001460Aplasia/Hypoplasia involving the skeletal musculature
HP:0001284Areflexia
HP:0001321Cerebellar hypoplasia
HP:0007731Chorioretinal dysplasia
HP:0001263Global developmental delay
HP:0000238Hydrocephalus
HP:0001265Hyporeflexia
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0001339Lissencephaly
HP:0010508Metatarsus valgus
HP:0001324Muscle weakness
HP:0003560Muscular dystrophy
HP:0000648Optic atrophy
HP:0001302Pachygyria
HP:0001302Pachygyria
HP:0002126Polymicrogyria
HP:0000541Retinal detachment
HP:0007973Retinal dysplasia
HP:0000556Retinal dystrophy
HP:0003202Skeletal muscle atrophy
HP:0001328Specific learning disability
HP:0002119Ventriculomegaly
Frequent (79-30%)
HP:0001331Absent septum pellucidum
HP:0001274Agenesis of corpus callosum
HP:0000528Anophthalmia
HP:0007957Corneal opacity
HP:0000028Cryptorchidism
HP:0001305Dandy-Walker malformation
HP:0000501Glaucoma
HP:0008736Hypoplasia of penis
HP:0000256Macrocephaly
HP:0000568Microphthalmia
Occasional (29-5%)
HP:0000193Bifid uvula
HP:0000518Cataract
HP:0000175Cleft palate
HP:0000612Iris coloboma
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0000482Microcornea
HP:0000358Posteriorly rotated ears
HP:0000411Protruding ear
HP:0001250Seizure
HP:0000176Submucous cleft hard palate

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card