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Progressive microcephaly-seizures-cortical blindness-developmental delay syndrome(SCBMS)

MedGen UID:
1799073
Concept ID:
C5567650
Disease or Syndrome
Synonym: Seizures, cortical blindness, and microcephaly syndrome
SNOMED CT: Progressive microcephaly, seizures, cortical blindness, developmental delay syndrome (1172900005)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): DIAPH1 (5q31.3)
 
Monarch Initiative: MONDO:0014714
OMIM®: 616632
Orphanet: ORPHA477814

Definition

Seizures, cortical blindness, and microcephaly syndrome (SCBMS) is an autosomal recessive neurodevelopmental disorder characterized by microcephaly, early-onset seizures, severely delayed psychomotor development, and cortical blindness. Affected individuals also tend to show poor overall growth with short stature (summary by Ercan-Sencicek et al., 2015). [from OMIM]

Clinical features

From HPO
Short stature
MedGen UID:
87607
Concept ID:
C0349588
Finding
A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms).
Growth delay
MedGen UID:
99124
Concept ID:
C0456070
Pathologic Function
A deficiency or slowing down of growth pre- and postnatally.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Hypoplasia of the corpus callosum
MedGen UID:
138005
Concept ID:
C0344482
Congenital Abnormality
Underdevelopment of the corpus callosum.
Poor speech
MedGen UID:
341172
Concept ID:
C1848207
Finding
Hypotonia
MedGen UID:
10133
Concept ID:
C0026827
Finding
Hypotonia is an abnormally low muscle tone (the amount of tension or resistance to movement in a muscle). Even when relaxed, muscles have a continuous and passive partial contraction which provides some resistance to passive stretching. Hypotonia thus manifests as diminished resistance to passive stretching. Hypotonia is not the same as muscle weakness, although the two conditions can co-exist.
Generalized hypotonia
MedGen UID:
346841
Concept ID:
C1858120
Finding
Generalized muscular hypotonia (abnormally low muscle tone).
Microcephaly
MedGen UID:
1644158
Concept ID:
C4551563
Finding
Head circumference below 2 standard deviations below the mean for age and gender.
Optic atrophy
MedGen UID:
18180
Concept ID:
C0029124
Disease or Syndrome
Atrophy of the optic nerve. Optic atrophy results from the death of the retinal ganglion cell axons that comprise the optic nerve and manifesting as a pale optic nerve on fundoscopy.
Cerebral visual impairment
MedGen UID:
890568
Concept ID:
C4048268
Pathologic Function
A form of loss of vision caused by damage to the visual cortex rather than a defect in the eye.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVProgressive microcephaly-seizures-cortical blindness-developmental delay syndrome

Professional guidelines

PubMed

Bazinet A, Bravo GM
Curr Treat Options Oncol 2022 May;23(5):668-687. Epub 2022 Mar 23 doi: 10.1007/s11864-022-00965-1. PMID: 35320468
Dispenzieri A
Am J Hematol 2019 Jul;94(7):812-827. Epub 2019 May 23 doi: 10.1002/ajh.25495. PMID: 31012139
Atri A
Med Clin North Am 2019 Mar;103(2):263-293. doi: 10.1016/j.mcna.2018.10.009. PMID: 30704681

Recent clinical studies

Etiology

Saygin C, Carraway HE
Blood Rev 2021 Jul;48:100791. Epub 2020 Dec 27 doi: 10.1016/j.blre.2020.100791. PMID: 33423844
Fenaux P, Platzbecker U, Ades L
Br J Haematol 2020 Jun;189(6):1016-1027. Epub 2019 Sep 30 doi: 10.1111/bjh.16206. PMID: 31568568
Platzbecker U
Blood 2019 Mar 7;133(10):1096-1107. Epub 2019 Jan 22 doi: 10.1182/blood-2018-10-844696. PMID: 30670446
Cui MY, Lin Y, Sheng JY, Zhang X, Cui RJ
Neural Plast 2018;2018:9234105. Epub 2018 Mar 11 doi: 10.1155/2018/9234105. PMID: 29713339Free PMC Article
Zerem E
World J Gastroenterol 2014 Oct 14;20(38):13879-92. doi: 10.3748/wjg.v20.i38.13879. PMID: 25320523Free PMC Article

Diagnosis

Anitha V, Vanathi M, Raghavan A, Rajaraman R, Ravindran M, Tandon R
Indian J Ophthalmol 2021 Feb;69(2):214-225. doi: 10.4103/ijo.IJO_1263_20. PMID: 33463562Free PMC Article
Saygin C, Carraway HE
Blood Rev 2021 Jul;48:100791. Epub 2020 Dec 27 doi: 10.1016/j.blre.2020.100791. PMID: 33423844
Atri A
Med Clin North Am 2019 Mar;103(2):263-293. doi: 10.1016/j.mcna.2018.10.009. PMID: 30704681
Urano F
Curr Diab Rep 2016 Jan;16(1):6. doi: 10.1007/s11892-015-0702-6. PMID: 26742931Free PMC Article
Zerem E
World J Gastroenterol 2014 Oct 14;20(38):13879-92. doi: 10.3748/wjg.v20.i38.13879. PMID: 25320523Free PMC Article

Therapy

Bazinet A, Bravo GM
Curr Treat Options Oncol 2022 May;23(5):668-687. Epub 2022 Mar 23 doi: 10.1007/s11864-022-00965-1. PMID: 35320468
Howell KB, Freeman JL, Mackay MT, Fahey MC, Archer J, Berkovic SF, Chan E, Dabscheck G, Eggers S, Hayman M, Holberton J, Hunt RW, Jacobs SE, Kornberg AJ, Leventer RJ, Mandelstam S, McMahon JM, Mefford HC, Panetta J, Riseley J, Rodriguez-Casero V, Ryan MM, Schneider AL, Smith LJ, Stark Z, Wong F, Yiu EM, Scheffer IE, Harvey AS
Epilepsia 2021 Feb;62(2):358-370. Epub 2021 Jan 21 doi: 10.1111/epi.16810. PMID: 33475165
Fenaux P, Platzbecker U, Ades L
Br J Haematol 2020 Jun;189(6):1016-1027. Epub 2019 Sep 30 doi: 10.1111/bjh.16206. PMID: 31568568
Platzbecker U
Blood 2019 Mar 7;133(10):1096-1107. Epub 2019 Jan 22 doi: 10.1182/blood-2018-10-844696. PMID: 30670446
Palomba S, de Wilde MA, Falbo A, Koster MP, La Sala GB, Fauser BC
Hum Reprod Update 2015 Sep-Oct;21(5):575-92. Epub 2015 Jun 27 doi: 10.1093/humupd/dmv029. PMID: 26117684

Prognosis

Karol LA
J Pediatr Orthop 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S38-S43. doi: 10.1097/BPO.0000000000001351. PMID: 31169646
Platzbecker U
Blood 2019 Mar 7;133(10):1096-1107. Epub 2019 Jan 22 doi: 10.1182/blood-2018-10-844696. PMID: 30670446
Urano F
Curr Diab Rep 2016 Jan;16(1):6. doi: 10.1007/s11892-015-0702-6. PMID: 26742931Free PMC Article
Zerem E
World J Gastroenterol 2014 Oct 14;20(38):13879-92. doi: 10.3748/wjg.v20.i38.13879. PMID: 25320523Free PMC Article
Miller DH, Chard DT, Ciccarelli O
Lancet Neurol 2012 Feb;11(2):157-69. doi: 10.1016/S1474-4422(11)70274-5. PMID: 22265211

Clinical prediction guides

Bazinet A, Bravo GM
Curr Treat Options Oncol 2022 May;23(5):668-687. Epub 2022 Mar 23 doi: 10.1007/s11864-022-00965-1. PMID: 35320468
Li W, Yue T, Liu Y
Biomed Pharmacother 2020 Nov;131:110721. Epub 2020 Sep 10 doi: 10.1016/j.biopha.2020.110721. PMID: 32920517
Fenaux P, Platzbecker U, Ades L
Br J Haematol 2020 Jun;189(6):1016-1027. Epub 2019 Sep 30 doi: 10.1111/bjh.16206. PMID: 31568568
Platzbecker U
Blood 2019 Mar 7;133(10):1096-1107. Epub 2019 Jan 22 doi: 10.1182/blood-2018-10-844696. PMID: 30670446
Miller DH, Chard DT, Ciccarelli O
Lancet Neurol 2012 Feb;11(2):157-69. doi: 10.1016/S1474-4422(11)70274-5. PMID: 22265211

Recent systematic reviews

Peng B, Gao YH, Xie JQ, He XW, Wang CC, Xu JF, Zhang GJ
Orphanet J Rare Dis 2022 Jul 19;17(1):283. doi: 10.1186/s13023-022-02427-1. PMID: 35854386Free PMC Article
Gomes AM, Lopes D, Almeida C, Santos S, Malheiro J, Lousa I, Caldas Afonso A, Beirão I
Int J Mol Sci 2022 Jun 30;23(13) doi: 10.3390/ijms23137276. PMID: 35806283Free PMC Article
Gil Martínez V, Avedillo Salas A, Santander Ballestín S
Nutrients 2022 Feb 28;14(5) doi: 10.3390/nu14051033. PMID: 35268010Free PMC Article
Parsons C, Lim WY, Loy C, McGuinness B, Passmore P, Ward SA, Hughes C
Cochrane Database Syst Rev 2021 Feb 3;2(2):CD009081. doi: 10.1002/14651858.CD009081.pub2. PMID: 35608903Free PMC Article
Valentín-Gudiol M, Mattern-Baxter K, Girabent-Farrés M, Bagur-Calafat C, Hadders-Algra M, Angulo-Barroso RM
Cochrane Database Syst Rev 2017 Jul 29;7(7):CD009242. doi: 10.1002/14651858.CD009242.pub3. PMID: 28755534Free PMC Article

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