raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:93924

Lobar holoprosencephaly

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Multigenic/multifactorial, Not applicable
Age of onset
Infancy, Neonatal
Status
active

A form of holoprosencephaly characterized by separation of the right and left cerebral hemispheres and lateral ventricules with some continuity only across the frontal neocortex, especially rostrally and ventrally. Craniofacial features are variable may include ocular hypotelorism, midline cleft lip (complete or partial) and/or flat nose amongst other features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLobar holoprosencephaly
frHoloprosencéphalie lobaire
deHoloprosenzephalie, lobäre
esHoloprosencefalia lobar
itOloprosencefalia lobare
nlLobaire holoprosencefalie
ptHoloprosencefalia lobar
plHoloprozencefalia lobarna
csLobární holoprosencefalie
ukЛобарна голопрозенцефалія
zh脑叶性前脑无裂畸形
trLober holoprozensefali

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM157170NTBTvalidated
OMIM609637NTBTvalidated
OMIM610829NTBTvalidated
ICD-10Q04.2NTBTattributedvalidated
ICD-11LA05.2NTBTindexvalidated
MONDO0019756Evalidated
UMLSC0431362Evalidated

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):

  • ORPHA:2162Holoprosencephaly
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare neurological diseases; rare endocrine diseases

No children.

4

Genes

16 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FGFR1Candidate gene tested inNot yet assessedHGNC:3688ENSG000000777821363508p11.23fibroblast growth factor receptor 127363716[PMID]
CDONDisease-causing germline mutation(s) inAssessedHGNC:17104ENSG0000006430960870711q24.2cell adhesion associated, oncogene regulated
CRIPTODisease-causing germline mutation(s) inAssessedHGNC:11701ENSG000002411861873953p21.31cripto, EGF-CFC family member
DISP1Disease-causing germline mutation(s) inAssessedHGNC:19711ENSG000001543096075021q41dispatched RND transporter family member 1
DLL1Disease-causing germline mutation(s) inAssessedHGNC:2908ENSG000001987196065826q27delta like canonical Notch ligand 1
FGF8Disease-causing germline mutation(s) inAssessedHGNC:3686ENSG0000010783160048310q24.32fibroblast growth factor 8
FOXH1Disease-causing germline mutation(s) inAssessedHGNC:3814ENSG000001609736036218q24.3forkhead box H1
GAS1Disease-causing germline mutation(s) inAssessedHGNC:4165ENSG000001804471391859q21.33growth arrest specific 1
GLI2Disease-causing germline mutation(s) inAssessedHGNC:4318ENSG000000740471652302q14.2GLI family zinc finger 2
NODALDisease-causing germline mutation(s) inAssessedHGNC:7865ENSG0000015657460126510q22.1nodal growth differentiation factor
PTCH1Disease-causing germline mutation(s) inAssessedHGNC:9585ENSG000001859206013099q22.32patched 1
SHHDisease-causing germline mutation(s) inAssessedHGNC:10848ENSG000001646906007257q36.3sonic hedgehog signaling molecule
SIX3Disease-causing germline mutation(s) inAssessedHGNC:10889ENSG000001380836037142p21SIX homeobox 3
STILDisease-causing germline mutation(s) inAssessedHGNC:10879ENSG000001234731815901p33STIL centriolar assembly protein29785796[PMID]
TGIF1Disease-causing germline mutation(s) inAssessedHGNC:11776ENSG0000017742660263018p11.31TGFB induced factor homeobox 1
ZIC2Disease-causing germline mutation(s) inAssessedHGNC:12873ENSG0000004335560307313q32.3Zic family zinc finger 2
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass 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

72 annotations · validated 2020-06-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011968Feeding difficulties
HP:0000601Hypotelorism
Frequent (79-30%)
HP:0012285Abnormal hypothalamus physiology
HP:0011442Abnormality of central motor function
HP:0002270Abnormality of the autonomic nervous system
HP:0000818Abnormality of the endocrine system
HP:0000478Abnormality of the eye
HP:0000739Anxiety
HP:0011951Aspiration pneumonia
HP:0007018Attention deficit hyperactivity disorder
HP:0000708Atypical behavior
HP:0006528Chronic lung disease
HP:0000175Cleft palate
HP:0002019Constipation
HP:0000457Depressed nasal ridge
HP:0000716Depression
HP:0000873Diabetes insipidus
HP:0001508Failure to thrive
HP:0002020Gastroesophageal reflux
HP:0001510Growth delay
HP:0000218High palate
HP:0001249Intellectual disability
HP:0000737Irritability
HP:0000161Median cleft lip
HP:0002465Poor speech
HP:0002033Poor suck
HP:0000407Sensorineural hearing impairment
HP:0004322Short stature
HP:0006979Sleep-wake cycle disturbance
HP:0001328Specific learning disability
Occasional (29-5%)
HP:0002363Abnormal brainstem morphology
HP:0001627Abnormal heart morphology
HP:0031860Abnormal heart rate variability
HP:0040327Abnormal morphology of the olfactory bulb
HP:0002793Abnormal pattern of respiration
HP:0040064Abnormality of limbs
HP:0000119Abnormality of the genitourinary system
HP:0000924Abnormality of the skeletal system
HP:0001274Agenesis of corpus callosum
HP:0000741Apathy
HP:0010654Aplasia of the falx cerebri
HP:0008936Axial hypotonia
HP:0000193Bifid uvula
HP:0002871Central apnea
HP:0011787Central hypothyroidism
HP:0100704Cerebral visual impairment
HP:0000824Decreased response to growth hormone stimulation test
HP:0002015Dysphagia
HP:0008947Floppy infant
HP:0011471Gastrostomy tube feeding in infancy
HP:0002827Hip dislocation
HP:0000238Hydrocephalus
HP:0001254Lethargy
HP:0002451Limb dystonia
HP:0000256Macrocephaly
HP:0000252Microcephaly
HP:0012718Morphological abnormality of the gastrointestinal tract
HP:0007301Oromotor apraxia
HP:0000871Panhypopituitarism
HP:0002650Scoliosis
HP:0001250Seizure
HP:0001257Spasticity
HP:0005968Temperature instability
HP:0002013Vomiting
Very rare (<4-1%)
HP:0001344Absent speech
HP:0009914Cyclopia
HP:0001371Flexion contracture
HP:0002540Inability to walk
HP:0045005Neural tube defect
HP:0012806Proboscis
HP:0006315Single median maxillary incisor
HP:0009932Single naris

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30182446[PMID]_20301702[PMID]_30182444[PMID]

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Sources for this card