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Start free with EleplanPYCR2-related microcephaly-progressive leukoencephalopathy
ORPHA:481152Malformation syndrome
What it is
PYCR2-related microcephaly-progressive leukoencephalopathy is a rare, genetic, syndromic intellectual disability disorder characterized by progressive postnatal microcephaly, cerebral hypomyelination and severe psychomotor developmental delayed with absent speech, as well as axial hypotonia, appendicular hypertonia with hyperextensibility of the wrists and ankles, hyperreflexia, severe muscle wasting and failure to thrive. Associated craniofacial dysmorphism includes triangular facies with bitemporal narrowing, down- or upslanting palpebral fissures, malar hypoplasia, large malformed ears with overfolded helices, upturned bulbous nose, long smooth philtrum and thin vermilion borders.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- 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
Very common80–99%
7Common30–79%
15- Abnormal facial shape
- Bulbous nose
- CNS hypomyelination
- Developmental regression
- Hyperintensity of cerebral white matter on MRI
- Hypoplasia of the corpus callosum
- Hypoplasia of the maxilla
- Hypotonia
- Low-set ears
- Protruding ear
- Seizure
- Severe demyelination of the white matter
- Skeletal muscle atrophy
- Spasticity
- Vomiting
Sometimes5–29%
40- Abnormality of the skeletal system
- Agenesis of corpus callosum
- Aggressive behavior
- Anteverted nares
- Arachnodactyly
- Ataxia
- Bilateral tonic-clonic seizure
- Broad eyebrow
and 32 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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