raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:94125

Recessive mitochondrial ataxia syndrome

Synonyms: MIRAS

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

A rare, mitochondrial DNA maintenance syndrome characterized by early-onset cerebellar ataxia, and variable combination of epilepsy, headache, dysarthria, ophthalmoplegia, peripheral neuropathy, intellectual disability, psychiatric symptoms and movement disorders.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRecessive mitochondrial ataxia syndromeMIRAS
frSyndrome d'ataxie mitochondriale récessive= en
deAtaxie-Syndrom, mitochondriales rezessives= en
esSíndrome de ataxia mitocondrial recesiva
itSindrome atassica mitocondriale recessiva= en
nlRecessief mitochondriaal ataxiesyndroom= en
ptSíndrome de ataxia mitocondrial, recessiva
plZespół recesywnej ataksji mitochondrialnej= en
csSyndrom recesivní mitochondriální ataxie= en
ukСиндром рецесивної мітохондріальної атаксії= en
zh隐性线粒体共济失调综合征= en
trResesif mitokondriyal ataksi sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G11.8NTBTattributedvalidated
ICD-115C53.21NTBTindexvalidated
MONDO0019791Evalidated
UMLSC4760799Evalidated

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
POLGDisease-causing germline mutation(s) inAssessedHGNC:9179ENSG0000014052117476315q26.1DNA polymerase gamma, catalytic subunit15824347[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

22 annotations · validated 2018-05-15
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0012079Abnormality of central motor conduction
HP:0100022Abnormality of movement
HP:0001284Areflexia
HP:0001251Ataxia
HP:0000708Atypical behavior
HP:0100543Cognitive impairment
HP:0001310Dysmetria
HP:0002015Dysphagia
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0000872Hashimoto thyroiditis
HP:0002315Headache
HP:0002495Impaired vibratory sensation
HP:0003542Increased circulating pyruvate concentration
HP:0002406Limb dysmetria
HP:0000602Ophthalmoplegia
HP:0009830Peripheral neuropathy
HP:0002403Positive Romberg sign
HP:0012251ST segment elevation
HP:0001250Seizure
HP:0003390Sensory axonal neuropathy
Occasional (29-5%)
HP:0001260Dysarthria

Annotation source: 25586537[PMID]

7

Sources for this card