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Start free with EleplanPantothenate kinase-associated neurodegeneration
ORPHA:157850Disease
Also called Hallervorden-Spatz syndrome · NBIA1 · Neurodegeneration with brain iron accumulation type 1 · PKAN
What it is
A rare neurodegenerative disorder characterized by progressive dystonia, dysarthria, retinal degeneration and abnormal iron accumulation in the globus pallidus and substantia nigra with a characteristic ''eye-of-the-tiger'' sign on T2-weighted MRI. Forms include classic disease with early onset and rapid progression and atypical disease with later onset and slower progression.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Europe)
- Age of onset
- Adolescent, Adult, Childhood, Infancy
- Inheritance
- Autosomal recessive
- Classified as
- Disease
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%
8Common30–79%
21- Abetalipoproteinemia
- Abnormality of eye movement
- Acanthocytosis
- Atypical behavior
- Bulbar signs
- Craniofacial dystonia
- Dysarthria
- Eye of the tiger anomaly of globus pallidus
- Iron accumulation in substantia nigra
- Leg dystonia
- Limb dystonia
- Limb pain
- Mental deterioration
- Nyctalopia
- Osteopenia
- Parkinsonism
- Peripheral visual field loss
- Pigmentary retinopathy
- Retinal flecks
- Rigidity
- Rod-cone dystrophy
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 this gene 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.
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