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Pontocerebellar hypoplasia type 3 (PCH3), also known as cerebellar atrophy with progressive microcephaly (CLAM) is a rare form of pontocerebellar hypoplasia with autosomal recessive transmission characterized neonatally by hypotonia and impaired swallowing and from infancy onward by seizures, optic atrophy and short stature, but none of the clinical findings are specific for PCH3.
Features include always present findings: Shrinkage of the cerebellum (cerebellar atrophy), Seizure, Hypoplasia of the pons, and Atrophy/Degeneration affecting the brainstem and others; and sometimes findings: Damage to the optic nerve (optic atrophy) and Optic disc pallor. 32 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Hypoplasia of the brainstem, Seizure, Atrophy/Degeneration affecting the brainstem |
PCLO function has not been fully characterized.
Pontocerebellar hypoplasia type 3 is associated with mutations in the PCLO gene on chromosome 7.
Genetic testing for PCLO is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 10 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for pontocerebellar hypoplasia type 3.
4 publications have been identified in PubMed for pontocerebellar hypoplasia type 3. Research spans Basic Science / Preclinical (50%), Case Report / Case Series (25%), and Gene Therapy / Novel Therapeutics (25%).
Pankaj P (2026). [PMID: 41326055](https://pubmed.ncbi.nlm.nih.gov/41326055/). *Magn Reson Chem*. [Basic Science / Preclinical]
Baneshi M (2025). [PMID: 42038819](https://pubmed.ncbi.nlm.nih.gov/42038819/). *Galen Med J*. [Gene Therapy / Novel Therapeutics]
Lertsakulbunlue S (2025). [PMID: 40661989](https://pubmed.ncbi.nlm.nih.gov/40661989/). *Case Rep Pediatr*. [Case Report / Case Series]
Chick SL (2025). [PMID: 40753099](https://pubmed.ncbi.nlm.nih.gov/40753099/). *Nat Commun*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 2:13 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 6 | Shrinkage of the cerebellum (cerebellar atrophy), Atrophy/Degeneration affecting the brainstem, Axial hypotonia |
Head and neck | 3 | High palate, Progressive microcephaly, High, narrow palate |
Eyes | 2 | Damage to the optic nerve (optic atrophy), Optic disc pallor |
Ears | 1 | Hearing loss (hearing impairment) |
Growth and development | 1 | Short stature |
Pregnancy and birth | 1 | Neonatal hypotonia |