raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:990

Agnathia-holoprosencephaly-situs inversus syndrome

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

An extremely rare and fatal association syndrome, characterized by absence of the mandible, cerebral malformations with facial anomalies related to a defect in cleavage in the embryonic brain (e.g. synophthalmia, malformed and low-set ears fused in midline (otocephaly), agenesis of the olfactory bulbs, microstomia, hypoglossia/aglossia) and situs inversus partialis or totalis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAgnathia-holoprosencephaly-situs inversus syndrome
frSyndrome d'agnathie-holoprosencéphalie-situs inversus
deAgnathie-Holoprosenzephalie-Situs inversus-Syndrom
esSíndrome de agnatia-holoprosencefalia-situs inversus
itAgnatia - oloprosencefalia - situs inversus
nlAgnathie - holoprosencefalie - situs inversus-syndroom
ptSíndrome de agnatia-holoprosencefalia-situs inversus
plBrak żuchwy - holoprozencefalia - odwrotne ułożenie trzewi
csSyndrom zahrnující agnatii, holoprosencefalii a situs inversusSyndrom zahrnující chybění brady, holoprosencefalii a situs inversus
ukСиндром агнатії-голопрозенцефалії-зворотного розташування
zh无颌-前脑无裂畸形-转位综合征
trAgnati-holoprosensefali-situs inversus sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM202650Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0008740Evalidated
UMLSC4302678Evalidated
GARD9126Evalidated

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 (2):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PRRX1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:9142ENSG000001161321674201q24.2paired related homeobox 121294718[PMID]
OTX2Modifying germline mutation inAssessedHGNC:8522ENSG0000016558860003714q22.3orthodenticle homeobox 222577225[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validated20849990[PMID]_ORPHANET

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

19 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001291Abnormal cranial nerve morphology
HP:0000478Abnormality of the eye
HP:0100596Absent nares
HP:0001274Agenesis of corpus callosum
HP:0009924Aplasia/Hypoplasia involving the nose
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0100840Aplasia/Hypoplasia of the eyebrow
HP:0009914Cyclopia
HP:0001360Holoprosencephaly
HP:0008736Hypoplasia of penis
HP:0009939Mandibular aplasia
HP:0000171Microglossia
HP:0011386Narrow internal auditory canal
HP:0000160Narrow mouth
HP:0001561Polyhydramnios
HP:0000358Posteriorly rotated ears
HP:0002098Respiratory distress
HP:0001696Situs inversus totalis
HP:0100663Synotia

Run the differential on the 12 obligate / very frequent terms

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Sources for this card