Neurodegenerative syndrome due to cerebral folate transport deficiency
General Information (adopted from Orphanet):
Synonyms, Signs: |
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Number of Symptoms | 10 |
OrphanetNr: | 217382 |
OMIM Id: |
613068
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ICD-10: |
G31.8 |
UMLs: |
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MeSH: |
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MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | No data available. |
Inheritance: |
Autosomal recessive [Orphanet] |
Age of onset: |
Neonatal Infancy [Orphanet] |
Disease classification (adopted from Orphanet):
Parent Diseases: |
Disorder of folate metabolism and transport
-Rare genetic disease Genetic neurodegenerative disease -Rare genetic disease Rare neurodegenerative disease -Rare neurologic disease |
Symptom Information:
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(HPO:0001250) | Seizures | 1245 / 7739 | ||||
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(HPO:0001249) | Intellectual disability | 1089 / 7739 | ||||
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(HPO:0002376) | Developmental regression | 74 / 7739 | ||||
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(MedDRA:10061296) | Motor dysfunction | 4 / 7739 | ||||
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(OMIM) | Developmental regression, severe | 1 / 7739 | ||||
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(OMIM) | Decreased CSF methyltetrahydrofolate (MTHF) | 1 / 7739 | ||||
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(HPO:0000007) | Autosomal recessive inheritance | 2538 / 7739 | ||||
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(HPO:0002180) | Neurodegeneration | 31 / 7739 | ||||
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(OMIM) | Brain MRS shows reduced choline and inositol peaks in the parieto-occipital white matter | 1 / 7739 | ||||
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(OMIM) | Disturbed myelination affecting the periventricular and subcortical white matter | 1 / 7739 |
Associated genes:
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
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Additional Information:
Description: (OMIM) |
This is an autosomal recessive disorder resulting from brain-specific folate deficiency early in life. Onset is apparent in late infancy with severe developmental regression, movement disturbances, epilepsy, and leukodystrophy. Recognition and diagnosis of this disorder is critical because ... |
Clinical Description OMIM |
Steinfeld et al. (2009) reported 2 German sibs with severe neurodegeneration beginning after age 2 years. The older boy, at age 3 years and 19 months, was severely handicapped, wheelchair-bound, and suffered from resistant epileptic seizures. After treatment ... |
Molecular genetics OMIM |
In 2 German sibs with neurodegeneration due to cerebral folate transport deficiency, Steinfeld et al. (2009) identified compound heterozygosity for 2 mutations in the FOLR1 gene (Q118X; 136430.0001 and C175X; 136430.0002). An unrelated Italian girl with the disorder ... |