MEPAN syndrome

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MEPAN syndrome

ORPHA:508093Malformation syndrome

Also called Autosomal recessive childhood-onset dystonia, DYT29 type · Childhood-onset generalized dystonia-optic atrophy syndrome · DYT29 · Dystonia 29 · Mitochondrial enoyl CoA reductase protein-associated neurodegeneration syndrome

What it is

A rare genetic neurological disorder characterized by childhood-onset dystonia with distinctive MRI changes in the basal ganglia, and optic atrophy developing either immediately or within a few years after the appearance of dystonia. Additional symptoms include chorea and other movement disorders, dysarthria, or nystagmus, among others. Motor disability progresses gradually, while cognitive function is relatively spared.

Key facts

Prevalence
<1 / 1 000 000
Age of onset
Childhood, 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

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

MECRDisease-causing germline mutation(s)

ICD-10 codes

G24.1filed under a broader ICD-10 category — shared with 18 other rare diseases

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

GARD 13488MONDO 15003OMIM 617282UMLS C4310634

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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