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Start free with EleplanEarly-onset seizures-distal limb anomalies-facial dysmorphism-global developmental delay syndrome
ORPHA:505237Malformation syndrome
What it is
A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by variable developmental delay, intellectual disability, early-onset seizures, and facial dysmorphism (including arched eyebrows, long palpebral fissures, prominent nasal bridge, large ears, thin upper lip, and high arched palate). Other reported features are microcephaly, hypotonia, growth retardation, congenital heart defects, and malformations of the fingers and toes, as well as additional neurologic manifestations (such as ataxia or spastic quadriplegia). Brain imaging may show hypoplastic corpus callosum, white matter abnormalities, or cortical atrophy.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
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
Common30–79%
37- Absent speech
- Aplasia/Hypoplasia of the corpus callosum
- Brachycephaly
- Broad thumb
- Decreased body weight
- Downslanted palpebral fissures
- Failure to thrive
- Feeding difficulties
- Flat occiput
- Generalized hypotonia
- Global developmental delay
- Hearing impairment
- Highly arched eyebrow
- High palate
- Hyperextensibility of the finger joints
- Inability to walk
- Intrauterine growth retardation
- Limb joint contracture
- Long eyelashes
- Long face
- Long palpebral fissure
- Long philtrum
- Low-set ears
- Macrotia
- Microcephaly
- Overlapping toe
- Prominent nasal bridge
- Retrognathia
- Sacral dimple
- Scoliosis
- Short neck
- Short stature
- Talipes equinovarus
- Tapered finger
- Thin upper lip vermilion
- Ventriculomegaly
- Wide nose
Sometimes5–29%
13- Aplasia/Hypoplasia of the external ear
- Arachnodactyly
- Ataxia
- Atrial septal defect
- Autistic behavior
- Cerebral cortical atrophy
- Chronic constipation
- Cryptorchidism
and 5 more in this range
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.
Gene
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.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
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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