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Start free with EleplanMicrocephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome
ORPHA:457351Malformation syndrome
Also called Microcephaly-intellectual disability-sensorineural deafness-epilepsy-abnormal muscle tone syndrome
What it is
A rare genetic disease characterized by microcephaly, global developmental delay, intellectual disability, abnormal muscle tone, and sensorineural hearing impairment. Additional variable manifestations include epilepsy, cortical visual impairment, gastrointestinal disturbances, growth restriction, scoliosis, as well as immunodeficiency and thrombocytopenia. Brain imaging may show cerebral atrophy, thin corpus callosum, and hypomyelination.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- 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
Very common80–99%
5Common30–79%
17- Abnormality of brain morphology
- Absent speech
- Autistic behavior
- Bilateral tonic-clonic seizure
- Cerebral hypomyelination
- Cerebral visual impairment
- Floppy infant
- Generalized myoclonic seizure
- Generalized non-motor (absence) seizure
- Inability to walk
- Intellectual disability, moderate
- Intellectual disability, severe
- Reduced eye contact
- Seizure
- Severe expressive language delay
- Severe receptive language delay
- Spasticity
Sometimes5–29%
20- Brain atrophy
- Broad eyebrow
- Cerebral cortical atrophy
- Constipation
- Depressed nasal bridge
- EEG with frontal sharp slow waves
- Global brain atrophy
- Highly arched eyebrow
and 12 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.
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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