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Neurodegeneration with brain iron accumulation (NBIA), formerly known as Hallervorden-Spatz syndrome, is a group of rare neurodegenerative disorders affecting the central nervous system. The condition is characterized by progressive dysfunction of the extrapyramidal system—the brain circuits that help coordinate movement—along with abnormal iron accumulation in the brain and the presence of axonal spheroids (swellings on nerve fibers). Onset has been reported across multiple life stages, including childhood, late adulthood, and adulthood. NBIA is estimated to affect between 1 and 9 individuals per million births, placing it in the rare disease category. This packet was certified on 2026-09-09.
NBIA is defined by a triad of core features described in the certified definition: progressive extrapyramidal dysfunction, brain iron accumulation, and axonal spheroids generally confined to the central nervous system. Extrapyramidal dysfunction encompasses movement abnormalities such as dystonia (involuntary muscle contractions causing repetitive or twisting movements), rigidity (muscle stiffness), and choreoathetosis (irregular, flowing involuntary movements). These features are described as progressive in nature. The certified packet does not provide additional phenotype details, frequency annotations, or organ-system breakdowns beyond these defining characteristics, so further symptom specifics are not described here.
This packet does not provide a certified causative gene claim for neurodegeneration with brain iron accumulation. The [GENES] field contains no entries, and [KNOWN_GENES_WITH_VALIDITY] is not available in this packet, so no gene names or chromosomal locations are included here. The inheritance pattern is also not certified in this packet, meaning no inheritance model, carrier implications, recurrence figures, or molecular mechanism can be described from the available data. Individuals or families seeking information about the genetic basis of NBIA may work with relevant clinical or genomic resources.
Specific diagnostic methods, testing hierarchies, biomarker thresholds, or differential diagnosis criteria are not certified in this packet for NBIA as a group-level entity. The [DIAGNOSTIC_METHODS] field is absent. The certified definition notes iron accumulation in the brain as a hallmark feature, which is consistent with the broader clinical context of the condition. NBIA is not included in newborn screening panels. Where GeneReviews data is present in this packet, it pertains to a related but distinct condition and cannot be applied as diagnostic guidance for NBIA as a whole.
Foundational or approved treatment information is not certified in this packet for NBIA. The [FOUNDATIONAL_THERAPIES] field is not certified. Deferiprone holds an orphan drug designation record in this packet; however, that designation has been recorded as withdrawn and does not constitute FDA approval or confirm current availability or active investigation of the drug for this condition. Orphan designation is a regulatory status distinct from approval. No active, verified FDA-approved treatment records are present in this packet. Treatment coverage for NBIA as a group-level condition is therefore unknown or uncertified based on the data available here.
2 trials found
Prognosis and natural history data are not certified in this packet for neurodegeneration with brain iron accumulation. The [NATURAL_HISTORY] field is absent, and no certified GeneReviews clinical description applicable to NBIA as a group is present. The condition's definition describes its features as progressive, but no further detail regarding disease trajectory, rate of progression, life expectancy, survival, or quality-of-life outcomes can be drawn from the available certified data. Prognosis is therefore not characterizable from this packet beyond what the definition explicitly states.
Certified active trial records are present for neurodegeneration with brain iron accumulation. One study, the Neurodegenerative Diseases Progression Markers (MARKERS-NDD) study (NCT06596746), is currently recruiting and is sponsored by Casa di Cura San Raffaele Cassino. A second recruiting study, the TIRCON International NBIA Registry (NCT05522374), is sponsored by LMU Klinikum and represents an international registry effort for NBIA. Active clinical trials for this condition are listed on ClinicalTrials.gov. The NBIA Disorders Association is a certified patient organization that may offer additional information and community resources.
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 9:41 PM UTC
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