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Start free with EleplanMacrocephaly-intellectual disability-left ventricular non compaction syndrome
ORPHA:466791Malformation syndrome
What it is
Macrocephaly-intellectual disability-left ventricular non compaction syndrome is a rare, genetic, syndromic intellectual disability characterized by motor and cognitive developmental delay with language impairment, macrocephaly, hypotonia, dysmorphic facial features (including long face, slanting palpebral fissures and prominent, flattened nose) and left ventricular noncompaction cardiomyopathy. Patients also present skeletal abnormalities (e.g. scoliosis, finger clinodactyly, pes planus), slender build and shy behavior. Strabismus and various neurological signs (including ataxia, tremor and hyperreflexia) may be associated, as well as epilepsy, autism and MRI findings showing a small cerebellum and abnormalities of the corpus callosum. A phenotypic variant with no cardiac involvement has been reported.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- X-linked 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%
28- Abnormal facial shape
- Abnormal left ventricle morphology
- Anxiety
- Delayed gross motor development
- Delayed speech and language development
- Dental crowding
- Dysplastic corpus callosum
- Feeding difficulties
- Generalized hypotonia
- High, narrow palate
- Hypernasal speech
- Intellectual disability, mild
- Kyphoscoliosis
- Long face
- Malar flattening
- Myopia
- Narrow nasal bridge
- Open mouth
- Pes planus
- Poor head control
- Poor suck
- Prominent nasal bridge
- Prominent nose
- Shyness
- Slender build
- Strabismus
- Synostosis involving the 1st metacarpal
- Upslanted palpebral fissure
Sometimes5–29%
48- Abnormal cardiac ventricular function
- Aggressive behavior
- Anterior pituitary hypoplasia
- Ataxia
- Atrial septal defect
- Autism
- Bilateral cryptorchidism
- Cerebellar hypoplasia
and 40 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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