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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 characterized 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.
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
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.
Microcephaly
MedGen UID:
1644158
Concept ID:
C4551563
Finding
Head circumference below 2 standard deviations below the mean for age and gender.
Bronchiectasis
MedGen UID:
14234
Concept ID:
C0006267
Disease or Syndrome
Persistent abnormal dilatation of the bronchi owing to localized and irreversible destruction and widening of the large airways.
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

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
Joyce E, Glasner P, Ranganathan S, Swiatecka-Urban A
Pediatr Nephrol 2017 Apr;32(4):577-587. Epub 2016 May 7 doi: 10.1007/s00467-016-3394-5. PMID: 27155873Free PMC Article

Recent clinical studies

Etiology

Dalakas MC
Neurol Neuroimmunol Neuroinflamm 2023 May;10(3) Epub 2023 Apr 14 doi: 10.1212/NXI.0000000000200109. PMID: 37059468Free PMC Article
Zhang X, Agborbesong E, Li X
Int J Mol Sci 2021 Oct 19;22(20) doi: 10.3390/ijms222011253. PMID: 34681922Free PMC Article
Zeidan AM, Shallis RM, Wang R, Davidoff A, Ma X
Blood Rev 2019 Mar;34:1-15. Epub 2018 Sep 21 doi: 10.1016/j.blre.2018.09.001. PMID: 30314642
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
Atri A
Med Clin North Am 2019 Mar;103(2):263-293. doi: 10.1016/j.mcna.2018.10.009. PMID: 30704681
Hithersay R, Hamburg S, Knight B, Strydom A
Curr Opin Psychiatry 2017 Mar;30(2):102-107. doi: 10.1097/YCO.0000000000000307. PMID: 28009725
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

Ramos EL, Dayan CM, Chatenoud L, Sumnik Z, Simmons KM, Szypowska A, Gitelman SE, Knecht LA, Niemoeller E, Tian W, Herold KC; PROTECT Study Investigators
N Engl J Med 2023 Dec 7;389(23):2151-2161. Epub 2023 Oct 18 doi: 10.1056/NEJMoa2308743. PMID: 37861217
Dalakas MC
Neurol Neuroimmunol Neuroinflamm 2023 May;10(3) Epub 2023 Apr 14 doi: 10.1212/NXI.0000000000200109. PMID: 37059468Free PMC Article
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
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
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

Platzbecker U
Blood 2019 Mar 7;133(10):1096-1107. Epub 2019 Jan 22 doi: 10.1182/blood-2018-10-844696. PMID: 30670446
Zeidan AM, Shallis RM, Wang R, Davidoff A, Ma X
Blood Rev 2019 Mar;34:1-15. Epub 2018 Sep 21 doi: 10.1016/j.blre.2018.09.001. PMID: 30314642
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
Marshall JD, Beck S, Maffei P, Naggert JK
Eur J Hum Genet 2007 Dec;15(12):1193-202. Epub 2007 Oct 17 doi: 10.1038/sj.ejhg.5201933. PMID: 17940554

Clinical prediction guides

Ramos EL, Dayan CM, Chatenoud L, Sumnik Z, Simmons KM, Szypowska A, Gitelman SE, Knecht LA, Niemoeller E, Tian W, Herold KC; PROTECT Study Investigators
N Engl J Med 2023 Dec 7;389(23):2151-2161. Epub 2023 Oct 18 doi: 10.1056/NEJMoa2308743. PMID: 37861217
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
Katz DI, Bernick C, Dodick DW, Mez J, Mariani ML, Adler CH, Alosco ML, Balcer LJ, Banks SJ, Barr WB, Brody DL, Cantu RC, Dams-O'Connor K, Geda YE, Jordan BD, McAllister TW, Peskind ER, Petersen RC, Wethe JV, Zafonte RD, Foley ÉM, Babcock DJ, Koroshetz WJ, Tripodis Y, McKee AC, Shenton ME, Cummings JL, Reiman EM, Stern RA
Neurology 2021 May 4;96(18):848-863. Epub 2021 Mar 15 doi: 10.1212/WNL.0000000000011850. PMID: 33722990Free PMC Article
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

Recent systematic reviews

McKinley BJ, Allen ME, Michels N
Eur J Med Res 2023 Jun 12;28(1):188. doi: 10.1186/s40001-023-01142-2. PMID: 37303053Free PMC Article
Di Buono G, Buscemi S, Galia M, Maienza E, Amato G, Bonventre G, Vella R, Saverino M, Grassedonio E, Romano G, Agrusa A
Eur J Med Res 2023 Feb 20;28(1):85. doi: 10.1186/s40001-023-01059-w. PMID: 36805741Free 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
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
Tu Y, Lineaweaver WC, Zheng X, Chen Z, Mullins F, Zhang F
Burns 2017 Jun;43(4):693-699. Epub 2017 Mar 24 doi: 10.1016/j.burns.2016.08.003. PMID: 28347546

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