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An autosomal recessive spinocerebellar ataxia caused by disease-causing variants in the SLC9A1 gene, characterized by early-onset cerebellar ataxia, cognitive or developmental delay, seizure, and cerebellar atrophy. Patients may also present with varying degrees of nystagmus, oculomotor apraxia, amelogenesis imperfecta and sensorineural hearing loss.
Features include always present findings: Dysmetria, Delayed ability to walk, Gait ataxia, and Ataxia and others; and common findings: Cafe-au-lait spot and Cerebellar vermis atrophy. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 6 | Action tremor, Dysarthria, Gait ataxia |
SLC9A1 function has not been fully characterized.
Lichtenstein-Knorr syndrome has been associated with mutations in the SLC9A1 gene on chromosome 1.
Genetic testing for SLC9A1 is available. Testing is considered supportive for diagnosis.
Biomarker and diagnostic research for Lichtenstein-Knorr syndrome has been reported in the published literature.
Phenotype severity distribution: 11 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Lichtenstein-Knorr syndrome.
191 publications have been identified in PubMed for Lichtenstein-Knorr syndrome. Kisho has analyzed 90 by research type. Research spans Review / Meta-Analysis (28%), Case Report / Case Series (23%), and Epidemiology / Natural History (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 25 | 28% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 4:02 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Lichtenstein-Knorr syndrome
Arms and legs
3 |
Limb ataxia, Areflexia of upper limbs, Areflexia of lower limbs |
Muscles | 2 | Shrinkage of the cerebellum (cerebellar atrophy), Cerebellar vermis atrophy |
Ears | 2 | Inner ear hearing loss (sensorineural hearing impairment), Vestibular hyporeflexia |
Growth and development | 1 | Short stature |
Eyes | 1 | Nystagmus |
Patient case studies
21 |
23% |
Disease patterns and progression | 14 | 16% |
Laboratory research | 12 | 13% |
Testing and diagnosis research | 9 | 10% |
Clinical study results | 9 | 10% |
Vinokurov E (2026). [PMID: 42057699](https://pubmed.ncbi.nlm.nih.gov/42057699/). *Neurodegener Dis Manag*. [Review / Meta-Analysis]
Baumeister H (2026). [PMID: 41443080](https://pubmed.ncbi.nlm.nih.gov/41443080/). *EBioMedicine*. [Diagnostic / Biomarker]
Cardoso F (2026). [PMID: 41612618](https://pubmed.ncbi.nlm.nih.gov/41612618/). *Brain*. [Review / Meta-Analysis]
Alm V (2026). [PMID: 41603480](https://pubmed.ncbi.nlm.nih.gov/41603480/). *Eur J Neurol*. [Epidemiology / Natural History]
Bernardi E (2026). [PMID: 41596528](https://pubmed.ncbi.nlm.nih.gov/41596528/). *Int J Mol Sci*. [Review / Meta-Analysis]
Ramirez-Zamora A (2026). [PMID: 42261003](https://pubmed.ncbi.nlm.nih.gov/42261003/). *Mov Disord Clin Pract*. [Review / Meta-Analysis]
Petit E (2026). [PMID: 41150672](https://pubmed.ncbi.nlm.nih.gov/41150672/). *Brain*. [Diagnostic / Biomarker]
Pieper AA (2026). [PMID: 41398098](https://pubmed.ncbi.nlm.nih.gov/41398098/). *Handb Exp Pharmacol*. [Review / Meta-Analysis]
Sapuppo A (2026). [PMID: 42193054](https://pubmed.ncbi.nlm.nih.gov/42193054/). *Curr Issues Mol Biol*. [Case Report / Case Series]
Easton-Carr R (2026). [PMID: 31869134](https://pubmed.ncbi.nlm.nih.gov/31869134/). *Unknown Journal*. [Clinical Trial Publication]