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Features include always present findings: Delayed speech and language development, Global developmental delay, Generalized hypotonia, and Dyskinesia and others; and very common findings: Delayed ability to roll over, Microcephaly, and Limb dystonia. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Spastic tetraplegia, Brain shrinkage (cerebral atrophy), Delayed speech and language development |
YIF1B function has not been fully characterized.
Kaya-Barakat-Masson syndrome is caused by mutations in the YIF1B gene on chromosome 19.
Although the number of reported individuals with YIF1B-NDD is small (n=25) and the overall phenotype of this disorder is profound to severe, the phenotype of individuals with biallelic protein-truncating YIF1B variants tends to be more severe compared to that of individuals with biallelic missense variants . Limited developmental milestones – including limited speech development (4/24), head control (5/24), and capacity to sit (4/24), stand (2/24), and walk (2/24) – were only observed in individuals with biallelic missense variants. This might be due to residual activity of YIF1B in those with missense variants compared to protein-truncating variants .
YIF1B-related neurodevelopmental disorder (YIF1B-NDD) should be considered in probands with the following clinical, imaging, and family history findings.
Clinical findings
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
No approved treatments are currently available for Kaya-Barakat-Masson syndrome. The disease remains an area of unmet medical need.
No clinical practice guidelines for YIF1B-related neurodevelopmental disorder (YIF1B-NDD) have been published. In the absence of published guidelines, the following recommendations are based on the authors' personal experience managing individuals with this disorder. Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with YIF1B-NDD, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 3. YIF1B-Related Neurodevelopmental Disorder: Recommended Evaluations Following Initial Diagnosis
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 5. YIF1B-Related Neurodevelopmental Disorder: Recommended Surveillance
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 1:59 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Kaya-Barakat-Masson syndrome
Muscles | 4 | Axial hypotonia, Brain shrinkage (cerebral atrophy), Shrinkage of the cerebellum (cerebellar atrophy) |
Head and neck | 1 | Microcephaly |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |
Arms and legs | 1 | Limb dystonia |
Eyes | 1 | Cerebral visual impairment |
Digestive system | 1 | Feeding difficulties in infancy |
Growth and development | 1 | Intrauterine growth retardation |
Age of onset: before birth.
YIF1B-related neurodevelopmental disorder (YIF1B-NDD) is characterized by severe-to-profound developmental delay/ intellectual disability with variable motor abnormalities including axial hypotonia, peripheral hypertonia, dystonia, and dyskinesia; absence of speech in most individuals or very limited speech subject to regression; feeding difficulties; seizures; postnatal microcephaly with nonspecific brain MRI abnormalities; and ophthalmologic involvement (strabismus, nystagmus, optic atrophy, and cortical blindness). Some individuals have hypoventilation. To date, 25 individuals have been identified with biallelic pathogenic variants in YIF1B [, , , ]. The following description of the phenotypic features associated with this condition is based on these reports. Table 2. YIF1B-Related Neurodevelopmental Disorder: Frequency of Select Features
Feature | Proportion of Persons w/Feature1 | Comment |
|---|---|---|
Developmental delay | 24/24 | Severe to profound |
Generalized hypotonia of infancy | 20/24 | — |
Intellectual disability | 24/24 | Severe to profound |
Peripheral spasticity hyperreflexia | 22/23 | — |
Infant feeding difficulties | 20/24 | — |
Dystonia | 12/24 | — |
Dyskinesia or tremor | 9/21 | — |
Epilepsy | 15/23 | Myoclonic, generalized tonic-clonic, infantile spasms |
Microcephaly | 16/24 | Postnatal onset is most common. |
Strabismus | 11/19 | — |
Nystagmus | 5/20 | — |
Optic atrophy | 2/21 | — |
Central hypoventilation | 6/19 | When brain stem is affected |
Premature death | 5/25 | Death occurred before age 2 yrs in 5 persons. Based on , , , 1. Developmental delay. All individuals with YIF1B-NDD presented with severe-to-profound developmental delay, evident in the first month of life [, , , ]. Normal developmental milestones were most often not achieved. |
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
The phenotypic features associated with YIF1B-related neurodevelopmental disorder are not sufficient to diagnose this condition clinically. All disorders with severe intellectual disability and/or epilepsy with or without other distinctive findings (including movement disorders) should be considered in the differential diagnosis. See OMIM Phenotypic Series for genes associated with the following:
• Autosomal dominant intellectual developmental disorders
• Autosomal recessive intellectual developmental disorders
• Nonsyndromic X-linked intellectual developmental disorders
• Syndromic X-linked intellectual developmental disorders
• Developmental and epileptic encephalopathy
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
Genetic testing for YIF1B is available. Testing is considered confirmatory for diagnosis.
System/Concern | Evaluation | Comment |
|---|---|---|
Development | Developmental assessment | To incl motor, adaptive, cognitive, speech-language eval; Eval for early intervention/ special education Gastrointestinal/ Feeding |
Neurologic | Neurologic eval | Assess for movement disorder signs of hypoventilation.; Assess muscle tone.; Consider EEG if seizures are a concern.; Consider brain MRI if not performed previously. |
Eyes | Ophthalmologic eval | To assess for reduced vision, abnormal ocular movement, best corrected visual acuity, refractive errors, strabismus, more complex findings (e.g., cortical blindness) that may require referral for subspecialty care /or low vision services Neurobehavioral/ |
Psychiatric | Neuropsychiatric eval | For persons age 12 mos: screening for concerns incl findings suggestive of ASD, anxiety, /or aggression |
Genetic counseling | By genetics professionals1 | To obtain a pedigree inform affected persons their families re nature, MOI, implications of YIF1B-NDD to facilitate medical personal decision making Family support |
resources | By clinicians, wider care team, family support organizations | Assessment of family social structure to determine need for:; Community or such as Parent to Parent; Social work involvement for parental support; Home nursing referral ASD = autism spectrum disorder; MOI = mode of inheritance; YIF1B-NDD = YIF1B-related neurodevelopmental disorder 1. |
YIF1B-Related Neurodevelopmental Disorder: Treatment of Manifestations Manifestation/Concern | Treatment | Considerations/Other Developmental delay/ Intellectual disability/ |
Neurobehavioral issues | See . | Feeding issues/ Poor weight gain |
Movement disorder | Consider standardized treatments for movement disorders by experienced neurologist. | Individual case reports indicate that levodopa or carbidopa did not improve movement disorders, while partial improvement was obtained using trihexyphenidyl.1 However, there is no substantial evidence for the efficacy of this treatment in this disorder. |
Epilepsy | Standardized treatment w/ASM by experienced neurologist | Many ASMs may be effective; none has been demonstrated effective specifically for this disorder.; Education of parents/caregivers2 |
Eyes | Treatment per ophthalmologist | For refractive errors, strabismus Low vision services |
Central hypoventilation | Consider ventilation therapy if hypoventilation becomes evident. | Consider referral to ventilation specialist. Family/Community |
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
View trials for Kaya-Barakat-Masson syndrome
Evaluation |
|---|
Frequency |
|---|
Development | Monitor developmental progress educational needs. | At each visit Feeding |
Eyes | Evaluate for refractive error, strabismus, nystagmus, other signs of visual dysfunction | Per treating ophthalmologist Neurobehavioral/ |
Psychiatric | Assessment for ASD, anxiety, aggression | Annually ASD = autism spectrum disorder |
Source: GeneReviews — "YIF1B-Related Neurodevelopmental Disorder"
Phenotype severity distribution: 7 always present features, 3 very common features, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).