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Atypical glycine encephalopathy is a rare form of glycine encephalopathy (GE) presenting disease onset or clinical manifestations that differ from neonatal or infantile GE.
Features include common findings: Damage to the optic nerve (optic atrophy); and sometimes findings: Microcephaly. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 | Encephalopathy, Exaggerated startle response, Clonus |
SLC6A9 function has not been fully characterized.
Atypical glycine encephalopathy is caused by mutations in the SLC6A9 gene on chromosome 1.
Genetic testing for SLC6A9 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for atypical glycine encephalopathy.
8 publications have been identified in PubMed for atypical glycine encephalopathy. Research spans Case Report / Case Series (50%), Basic Science / Preclinical (25%), and Review / Meta-Analysis (13%).
Selvanathan A (2026). [PMID: 41521798](https://pubmed.ncbi.nlm.nih.gov/41521798/). *Journal of inherited metabolic disease*. [Review / Meta-Analysis]
Ferreira EO (2025). [PMID: 40415601](https://pubmed.ncbi.nlm.nih.gov/40415601/). *Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society*. [Case Report / Case Series]
Ma E (2025). [PMID: 40458115](https://pubmed.ncbi.nlm.nih.gov/40458115/). *AJP reports*. [Case Report / Case Series]
Bork F (2024). [PMID: 38783164](https://pubmed.ncbi.nlm.nih.gov/38783164/). *EMBO reports*. [Basic Science / Preclinical]
Marin V (2024). [PMID: 39323869](https://pubmed.ncbi.nlm.nih.gov/39323869/). *Frontiers in genetics*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 18, 2026, 9:09 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
7 |
Flexion contracture, Hip contracture, Myopathic facies |
Arms and legs | 2 | Overlapping toe, Hand clenching |
Lungs and breathing | 2 | Respiratory failure, Apnea |
Eyes | 2 | Ptosis, Damage to the optic nerve (optic atrophy) |
Pregnancy and birth | 1 | Fetal distress |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Head and neck | 1 | Microcephaly |
Bones and joints | 1 | Joint hypermobility |
Prasad A (2024). [PMID: 38782422](https://pubmed.ncbi.nlm.nih.gov/38782422/). *BMJ case reports*. [Case Report / Case Series]
Maraschi A (2024). [PMID: 38934391](https://pubmed.ncbi.nlm.nih.gov/38934391/). *Journal of experimental zoology. Part A, Ecological and integrative physiology*. [Basic Science / Preclinical]
Fokam J (2024). [PMID: 38728356](https://pubmed.ncbi.nlm.nih.gov/38728356/). *PLOS global public health*. [Epidemiology / Natural History]