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Any neurodevelopmental disorder characterized by global developmental delay, impaired intellectual development, poor overall growth, severely impaired motor development, and dysmorphic facial features due to a variation in the PUM1 gene.
Features include always present findings: Bilateral tonic-clonic seizure, Toe syndactyly, Low muscle tone (hypotonia), and Appendicular hypotonia and others; and very common findings: High palate. 49 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Bilateral tonic-clonic seizure, Ataxia, Intellectual disability |
PUM1 function has not been fully characterized.
Neurodevelopmental disorder with motor abnormalities, seizures, and facial dysmorphism is associated with mutations in the PUM1 gene on chromosome 1.
Genetic testing for PUM1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 29 always present features, 1 very common feature, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for neurodevelopmental disorder with motor abnormalities, seizures, and facial dysmorphism.
7 publications have been identified in PubMed for neurodevelopmental disorder with motor abnormalities, seizures, and facial dysmorphism. Research spans Case Report / Case Series (43%), Review / Meta-Analysis (29%), and Basic Science / Preclinical (14%).
Abdel-Ghafar SF (2026). [PMID: 41025723](https://pubmed.ncbi.nlm.nih.gov/41025723/). *Clin Genet*. [Case Report / Case Series]
Balestrini S (2026). [PMID: 41137852](https://pubmed.ncbi.nlm.nih.gov/41137852/). *Epilepsia*. [Review / Meta-Analysis]
De Falco A (2025). [PMID: 39603091](https://pubmed.ncbi.nlm.nih.gov/39603091/). *Eur J Paediatr Neurol*. [Epidemiology / Natural History]
Fenton TA (2025). [PMID: 40382580](https://pubmed.ncbi.nlm.nih.gov/40382580/). *J Neurodev Disord*. [Basic Science / Preclinical]
Deng Y (2025). [PMID: 41147347](https://pubmed.ncbi.nlm.nih.gov/41147347/). *Birth Defects Res*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:40 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Arms and legs |
5 |
Toe syndactyly, Tapered finger, Short middle phalanx of the 5th finger |
Muscles | 4 | Low muscle tone (hypotonia), Appendicular hypotonia, Axial hypotonia |
Bones and joints | 3 | Joint hypermobility, Sideways curvature of the spine (scoliosis), Low bone density (reduced bone mineral density) |
Growth and development | 2 | Short stature, Intrauterine growth retardation |
Head and neck | 2 | Microcephaly, High palate |
Eyes | 2 | Cerebral visual impairment, Ptosis |
Wang B (2024). [PMID: 38684302](https://pubmed.ncbi.nlm.nih.gov/38684302/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Tian XJ (2024). [PMID: 39429079](https://pubmed.ncbi.nlm.nih.gov/39429079/). *Zhonghua Er Ke Za Zhi*. [Case Report / Case Series]