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Features include always present findings: Lower limb spasticity, Muscle weakness, Intellectual disability, and Global developmental delay and others; and very common findings: Seizure, Hypoplasia of the corpus callosum, Upper limb spasticity, and Brisk reflexes and others. 55 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 20 | Encephalopathy, Bilateral tonic-clonic seizure, Inability to walk |
TBCD function has not been fully characterized.
Early-onset progressive diffuse brain atrophy-microcephaly-muscle weakness-optic atrophy syndrome is caused by mutations in the TBCD gene on chromosome 17.
Genetic testing for TBCD is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 7 always present features, 5 very common features, 15 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for early-onset progressive diffuse brain atrophy-microcephaly-muscle weakness-optic atrophy syndrome.
4 publications have been identified in PubMed for early-onset progressive diffuse brain atrophy-microcephaly-muscle weakness-optic atrophy syndrome. Research spans Case Report / Case Series (100%).
Yang W (2026). [PMID: 41647755](https://pubmed.ncbi.nlm.nih.gov/41647755/). *Front Hum Neurosci*. [Case Report / Case Series]
Ahmad SR (2025). [PMID: 40371665](https://pubmed.ncbi.nlm.nih.gov/40371665/). *Clin Genet*. [Case Report / Case Series]
Watanabe R (2025). [PMID: 40677151](https://pubmed.ncbi.nlm.nih.gov/40677151/). *Alzheimers Dement*. [Case Report / Case Series]
Taneda T (2024). [PMID: 38797686](https://pubmed.ncbi.nlm.nih.gov/38797686/). *Rinsho Shinkeigaku*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 8:42 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 9 | Low muscle tone (hypotonia), Atrophy/Degeneration affecting the brainstem, Muscle weakness |
Eyes | 3 | Strabismus, Nystagmus, Damage to the optic nerve (optic atrophy) |
Arms and legs | 2 | Lower limb spasticity, Upper limb spasticity |
Digestive system | 2 | Constipation, Feeding difficulties |
Bones and joints | 2 | Skeletal muscle atrophy, Sideways curvature of the spine (scoliosis) |
Head and neck | 2 | Microcephaly, Secondary microcephaly |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Kidneys and urinary system | 1 | Urinary incontinence |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Growth and development | 1 | Growth delay |