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Microcephalic primordial dwarfism due to RTTN deficiency is a rare, genetic, multiple congenital anomalies/dysmorphic syndrome characterized by primary microcephaly, profound short stature, moderate to severe intellectual disability, global developmental delay, craniofacial dysmorphism (e.g. sloping forehead, high and broad nasal bridge) and variable brain malformations, including simplified gyration, pachygyria, polymicrogyria, reduced sulcation, dysgenesis of corpus callosum and deformed ventricles. Renal anomalies, bilateral hearing loss, multiple joint contractures, severe failure to thrive and a sacral lesion cephalad to the gluteal crease have also been reported.
Features include always present findings: Decreased body weight, Microcephaly, EEG abnormality, and Short stature and others; and common findings: Shrinkage of the cerebellum (cerebellar atrophy), Flexion contracture, Dysarthria, and Polymicrogyria. 23 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 6 | Poor speech, Moderate intellectual disability, Delayed speech and language development |
RTTN function has not been fully characterized.
Microcephalic primordial dwarfism due to RTTN deficiency is caused by mutations in the RTTN gene on chromosome 18.
Genetic testing for RTTN is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 6 always present features, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for microcephalic primordial dwarfism due to RTTN deficiency.
1 publication has been identified in PubMed for microcephalic primordial dwarfism due to RTTN deficiency. Research spans Basic Science / Preclinical (100%).
Guguin J (2024). [PMID: 39680576](https://pubmed.ncbi.nlm.nih.gov/39680576/). *PLoS Genet*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 8:43 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Growth and development | 2 | Short stature, Mild short stature |
Muscles | 2 | Shrinkage of the cerebellum (cerebellar atrophy), Flexion contracture |
Head and neck | 1 | Microcephaly |
Eyes | 1 | Optic nerve hypoplasia |
Age of onset: at birth.