Behr syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: Optic atrophy, infantile hereditary, with neurologic abnormalities
Number of Symptoms 40
OrphanetNr: 1239
OMIM Id: 210000
ICD-10: G98
UMLs: C0221061
MeSH: C537669
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Autosomal recessive
Monogenic
26380172 [IBIS]
Age of onset: Infancy
Childhood
25012220; 26380172 [IBIS]

Disease classification (adopted from Orphanet):

Parent Diseases: Autosomal recessive syndromic optic atrophy
 -Rare eye disease
 -Rare genetic disease

Comment:

Behr syndrome, first described in 1909 by the ophthalmologist Carl Behr, is a clinical entity characterised by a progressive optic atrophy, ataxia, pyramidal signs and mental retardation. Reported cases have been found to carry mutations in the OPA1 (= BERHS, MGM1, MTDPS14, NPG, NTG, largeG), OPA3 (= MGA3), C12ORF65 (= SPG55; COXPD7), or C19ORF12 (= NBIA3, NBIA4, SPG43) genes (PMID:26187298).

Symptom Information: Sort by abundance 

1
(HPO:0002019) Constipation Frequent [IBIS] 50% (n=6) 25012220 IBIS 194 / 7739
2
(HPO:0002572) Episodic vomiting Frequent [IBIS] 33% (n=6) 25012220 IBIS 12 / 7739
3
(HPO:0000316) Hypertelorism 26380172 IBIS 644 / 7739
4
(HPO:0000648) Optic atrophy Very frequent [IBIS] 26380172 IBIS 238 / 7739
5
(HPO:0000639) Nystagmus Very frequent [IBIS] Very frequent [Orphanet] 26380172 IBIS 555 / 7739
6
(HPO:0000597) Ophthalmoparesis Very frequent [IBIS] 26380172 IBIS 71 / 7739
7
(HPO:0000486) Strabismus Very frequent [Orphanet] 26380172 IBIS 576 / 7739
8
(HPO:0000505) Visual impairment 26380172 IBIS 297 / 7739
9
(HPO:0000572) Visual loss Frequent [Orphanet] 25012220 IBIS 272 / 7739
10
(HPO:0008972) Decreased activity of mitochondrial respiratory chain 25012220 IBIS 34 / 7739
11
(HPO:0008347) Decreased activity of mitochondrial complex IV 25012220 IBIS 31 / 7739
12
(HPO:0008944) Distal lower limb amyotrophy 26380172 IBIS 12 / 7739
13
(HPO:0009053) Distal lower limb muscle weakness 26380172 IBIS 13 / 7739
14
(HPO:0006970) Periventricular leukomalacia Occasional [IBIS] 17% (n=6) 25012220 IBIS 7 / 7739
15
(HPO:0009830) Peripheral neuropathy Very frequent [IBIS] 26380172 IBIS 206 / 7739
16
(HPO:0001251) Ataxia Very frequent [IBIS] 26380172 IBIS 413 / 7739
17
(HPO:0002066) Gait ataxia Very frequent [Orphanet] 26380172 IBIS 327 / 7739
18
(HPO:0002073) Progressive cerebellar ataxia 25012220 IBIS 27 / 7739
19
(HPO:0007256) Abnormal pyramidal signs Very frequent [IBIS] 26380172 IBIS 116 / 7739
20
(HPO:0003487) Babinski sign 26380172 IBIS 179 / 7739
21
(HPO:0001347) Hyperreflexia 26380172 IBIS 363 / 7739
22
(HPO:0001257) Spasticity 26380172 IBIS 251 / 7739
23
(HPO:0002313) Spastic paraparesis Very frequent [IBIS] 26380172 IBIS 33 / 7739
24
(HPO:0001258) Spastic paraplegia 26380172 IBIS 97 / 7739
25
(HPO:0002191) Progressive spasticity 11433166 IBIS 12 / 7739
26
(HPO:0001328) Specific learning disability 26380172 IBIS 114 / 7739
27
(HPO:0001263) Global developmental delay Very frequent [IBIS] 26380172 IBIS 853 / 7739
28
(HPO:0001249) Intellectual disability 26380172 IBIS 1089 / 7739
29
(HPO:0001288) Gait disturbance 26380172 IBIS 318 / 7739
30
(HPO:0002015) Dysphagia 25012220 IBIS 301 / 7739
31
(HPO:0001771) Achilles tendon contracture 11433166 IBIS 27 / 7739
32
(HPO:0002579) Gastrointestinal dysmotility Occasional [IBIS] 17% (n=6) 25012220 IBIS 11 / 7739
33
(HPO:0005750) Contractures of the joints of the lower limbs 11433166 IBIS 5 / 7739
34
(HPO:0006366) Adductor longus contractures 11433166 IBIS 1 / 7739
35
(HPO:0003089) Hamstring contractures 11433166 IBIS 2 / 7739
36
(HPO:0001272) Cerebellar atrophy 25146916 IBIS 197 / 7739
37
(HPO:0006855) Cerebellar vermis atrophy Occasional [IBIS] 17% (n=6) 25012220 IBIS 8 / 7739
38
(HPO:0012758) Neurodevelopmental delay Very frequent [Orphanet] 25146916 IBIS 949 / 7739
39
(HPO:0030532) Visual acuity test abnormality 26380172 IBIS 4 / 7739
40
(OMIM) Impaired mitochondrial translation 26380172 IBIS 4 / 7739

Associated genes:

C12orf65; C19ORF12; OPA1; OPA3;

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) 'Behr syndrome' is a clinical term that refers to the constellation of early-onset optic atrophy accompanied by neurologic features, including ataxia, pyramidal signs, spasticity, and mental retardation (Behr, 1909; Thomas et al., 1984).

Type III 3-methylglutaconic ...

Clinical Description OMIM Behr (1909) described a syndrome of optic atrophy beginning in early childhood, associated with ataxia, spasticity, and mental retardation. Posterior column sensory loss was also reported. After a period of progression, the symptoms remained static. Involvement of multiple ...