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Septooptic dysplasia (SOD) is a clinically heterogeneous disorder characterized by the classical triad of optic nerve hypoplasia, pituitary hormone abnormalities and midline brain defects.
Features include very common findings: Optic nerve hypoplasia, Visual impairment, and Septo-optic dysplasia; and common findings: Absent septum pellucidum, Anterior pituitary hypoplasia, Short stature, and Agenesis of corpus callosum and others. 36 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 6 | Optic nerve hypoplasia, Optic disc hypoplasia, Visual impairment |
HESX1 encodes HESX homeobox 1 (185 aa). Required for the normal development of the forebrain, eyes and other anterior structures such as the olfactory placodes and pituitary gland. Possible transcriptional repressor. Highest expression in Testis (9.7 TPM) and Cells EBV-transformed lymphocytes (4.2 TPM).
Septooptic dysplasia is associated with mutations in the HESX1 gene on chromosome 3.
HESX1 is classified as a druggable target (Transcription Factor category) with score 0.0.
Genetic testing for HESX1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for septooptic dysplasia has been reported in the published literature.
Phenotype severity distribution: 3 very common features, 12 common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered, 1 recruiting. Interventions under study include drug therapy. Pipeline includes 1 PHASE3. Research is primarily industry-sponsored.
64 publications have been identified in PubMed for septooptic dysplasia. Research spans Case Report / Case Series (41%), Epidemiology / Natural History (20%), and Review / Meta-Analysis (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 26 | 41% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Brain and nerves |
5 |
Global developmental delay, Seizure, Hemiplegia/hemiparesis |
Hormones | 4 | Anterior pituitary hypoplasia, Decreased response to growth hormone stimulation test, Diabetes insipidus |
Growth and development | 2 | Short stature, Decreased response to growth hormone stimulation test |
Skin | 2 | Dry skin, Decreased sweating (hypohidrosis) |
Digestive system | 2 | Constipation, Esophageal atresia |
Arms and legs | 1 | Short finger |
Head and neck | 1 | Cleft palate |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Disease patterns and progression |
13 |
20% |
Research summaries | 7 | 11% |
Laboratory research | 7 | 11% |
Testing and diagnosis research | 5 | 8% |
Clinical study results | 4 | 6% |
Other research | 1 | 2% |
New treatment approaches | 1 | 2% |
Hashem S (2026). [PMID: 42088401](https://pubmed.ncbi.nlm.nih.gov/42088401/). *Radiol Case Rep*. [Case Report / Case Series]
Amjad M (2026). [PMID: 42078637](https://pubmed.ncbi.nlm.nih.gov/42078637/). *Ann Med Surg (Lond)*. [Other]
Iyer M (2026). [PMID: 41773577](https://pubmed.ncbi.nlm.nih.gov/41773577/). *Journal of child neurology*. [Clinical Trial Publication]
Witte J (2026). [PMID: 41236025](https://pubmed.ncbi.nlm.nih.gov/41236025/). *Journal of neuroendocrinology*. [Case Report / Case Series]
Bellajdel I (2026). [PMID: 41564886](https://pubmed.ncbi.nlm.nih.gov/41564886/). *Clinical and experimental reproductive medicine*. [Case Report / Case Series]
Salman MS (2026). [PMID: 41547083](https://pubmed.ncbi.nlm.nih.gov/41547083/). *Pediatric neurology*. [Case Report / Case Series]
Tan YRL (2026). [PMID: 41674888](https://pubmed.ncbi.nlm.nih.gov/41674888/). *Clinical case reports*. [Case Report / Case Series]
Li Z (2026). [PMID: 42251271](https://pubmed.ncbi.nlm.nih.gov/42251271/). *BMC Med Imaging*. [Diagnostic / Biomarker]
Olivieri C (2026). [PMID: 41342353](https://pubmed.ncbi.nlm.nih.gov/41342353/). *J Clin Ultrasound*. [Review / Meta-Analysis]
Cullingford DJ (2026). [PMID: 41388600](https://pubmed.ncbi.nlm.nih.gov/41388600/). *Journal of paediatrics and child health*. [Case Report / Case Series]