Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with EleplanHypotonia-speech impairment-severe cognitive delay syndrome
ORPHA:371364Disease
Also called Infantile hypotonia-psychomotor retardation-characteristic facies syndrome · IHPRF syndrome
What it is
Hypotonia-speech impairment-severe cognitive delay syndrome is a rare, genetic neurodegenerative disorder characterized by severe, persistent hypotonia (presenting at birth or in early infancy), severe global developmental delay (with poor or absent speech, difficulty or inability to roll, sit or walk), profound intellectual disability, and failure to thrive. Additional manifestations include microcephaly, progressive peripheral spasticity, bilateral strabismus and nystagmus, constipation, and variable dysmorphic facial features (including plagiocephaly, broad forehead, small nose, low-set ears, micrognathia and open mouth with tented upper lip).
Key facts
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Signs and symptoms
Very common80–99%
9Common30–79%
31- Abnormal facial shape
- Anteverted nares
- Arachnodactyly
- Cachexia
- Constipation
- Downslanted palpebral fissures
- Dyskinesia
- EEG abnormality
- Enlarged naris
- Feeding difficulties
- Frontal bossing
- Hyperesthesia
- Hypotonia
- Microcephaly
- Micrognathia
- Neonatal hypotonia
- Plagiocephaly
- Posteriorly rotated ears
- Prominent nasal bridge
- Scoliosis
- Seizure
- Severe failure to thrive
- Short philtrum
- Short stature
- Small hand
- Smooth philtrum
- Talipes equinovarus
- Tented upper lip vermilion
- Thin upper lip vermilion
- Triangular face
- Wide nasal bridge
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.
Genes reported in subtypes
Orphanet records these genes on 2 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
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.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.