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Start free with EleplanDuplication of the pituitary gland
ORPHA:314621Morphological anomaly
Also called DPG-plus syndrome · Duplication of the pituitary gland-plus syndrome · Hypophyseal duplication
What it is
A rare midline cerebral malformation characterized by duplicated pituitary stalks and/or glands within duplicated sella. Patients may present various degrees of facial dysmorphism and endocrine abnormalities, including precocious puberty, hypogonadism, hypothyroidism and/or hyperprolactinemia, as well as associated congenital anomalies, such as clift lip/palate, bifid nasal bridge/tongue/uvula, hypothalamic enlargement with or without hamartoma, nasopharyngeal tumors, corpus callosum agenesis/hypoplasia, basilar artery duplication, and/or vertebral defects (in particular, duplication of the odontoid process).
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Not applicable
- Classified as
- Morphological anomaly
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
33- Abnormal hypothalamus morphology
- Abnormality of joint mobility
- Abnormality of masseter muscle
- Abnormality of midbrain morphology
- Abnormality of the cervical spine
- Abnormality of the odontoid process
- Abnormality of the pituitary gland
- Abnormality of the plantar skin of foot
- Abnormality of the sella turcica
- Abnormality of the tongue
- Agenesis of corpus callosum
- Brachyturricephaly
- Cleft palate
- Congenital stationary night blindness
- Decreased body weight
- Encephalocele
- Global developmental delay
- Hearing impairment
- Hypertelorism
- Hypoplasia of olfactory tract
- Intellectual disability, severe
- Lower limb spasticity
- Microcephaly
- Midface retrusion
- Polyhydramnios
- Retrognathia
- Self-mutilation
- Short neck
- Short stature
- Supernumerary tooth
- Teratoma
- Thoracic scoliosis
- Wide mouth
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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