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Macrocephaly-intellectual disability-left ventricular non compaction syndrome is a rare, genetic, syndromic intellectual disability characterized by motor and cognitive developmental delay with language impairment, macrocephaly, hypotonia, dysmorphic facial features (including long face, slanting palpebral fissures and prominent, flattened nose) and left ventricular noncompaction cardiomyopathy. Patients also present skeletal abnormalities (e.g. scoliosis, finger clinodactyly, pes planus), slender build and shy behavior. Strabismus and various neurological signs (including ataxia, tremor and hyperreflexia) may be associated, as well as epilepsy, autism and MRI findings showing a small cerebellum and abnormalities of the corpus callosum. A phenotypic variant with no cardiac involvement has been reported.
Features include always present findings: Low muscle tone (hypotonia), Ataxia, Autism, and Dental crowding and others; and common findings: Dysplastic corpus callosum, Submucous cleft soft palate, Strabismus, and Seizure and others. 65 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Seizure, Ataxia, Mild global developmental delay |
Heart and blood vessels | 6 | Ventricular septal defect, Right ventricular hypertrophy, Enlarged heart (cardiomegaly) |
Head and neck | 5 | Submucous cleft soft palate, Relative macrocephaly, High, narrow palate |
Muscles | 4 | Low muscle tone (hypotonia), Generalized hypotonia, Axial hypotonia |
Bones and joints | 4 | Kyphoscoliosis, Joint hypermobility, Sideways curvature of the spine (scoliosis) |
Eyes | 1 | Strabismus |
Digestive system | 1 | Gastroesophageal reflux |
Pregnancy and birth | 1 | Neonatal hypotonia |
Hormones | 1 | Delayed puberty |
Age of onset: newborn period.
NONO encodes non-POU domain containing octamer binding (471 aa). DNA- and RNA binding protein, involved in several nuclear processes. Binds the conventional octamer sequence in double-stranded DNA. Highest expression in Cells EBV-transformed lymphocytes (238.9 TPM) and Ovary (222.1 TPM).
Syndromic X-linked intellectual disability 34 is associated with mutations in the NONO gene on chromosome X.
NONO is classified as a druggable target (Clinically Actionable, Dna Repair, and Transcription Factor categories) with score 0.0.
Genetic testing for NONO is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for syndromic X-linked intellectual disability 34 has been reported in the published literature.
Phenotype severity distribution: 36 always present features, 21 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for syndromic X-linked intellectual disability 34.
36 publications have been identified in PubMed for syndromic X-linked intellectual disability 34. Research spans Basic Science / Preclinical (31%), Case Report / Case Series (23%), and Diagnostic / Biomarker (14%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 11 | 31% |
Patient case studies | 8 | 23% |
Testing and diagnosis research | 5 | 14% |
Disease patterns and progression | 5 | 14% |
Research summaries | 4 | 11% |
Clinical study results | 2 | 6% |
Kaler SG (2026). [PMID: 41687279](https://pubmed.ncbi.nlm.nih.gov/41687279/). *Mol Genet Metab*. [Diagnostic / Biomarker]
Huang R (2026). [PMID: 41205496](https://pubmed.ncbi.nlm.nih.gov/41205496/). *Eur J Obstet Gynecol Reprod Biol*. [Case Report / Case Series]
Zhang Y (2026). [PMID: 41727761](https://pubmed.ncbi.nlm.nih.gov/41727761/). *Front Pediatr*. [Case Report / Case Series]
Zhao Y (2026). [PMID: 41705901](https://pubmed.ncbi.nlm.nih.gov/41705901/). *Prenat Diagn*. [Basic Science / Preclinical]
Miller JS (2026). [PMID: 41260060](https://pubmed.ncbi.nlm.nih.gov/41260060/). *Pediatr Neurol*. [Epidemiology / Natural History]
Tkemladze T (2026). [PMID: 41044236](https://pubmed.ncbi.nlm.nih.gov/41044236/). *Eur J Hum Genet*. [Diagnostic / Biomarker]
Duan H (2026). [PMID: 42244324](https://pubmed.ncbi.nlm.nih.gov/42244324/). *Zhong Nan Da Xue Xue Bao Yi Xue Ban*. [Review / Meta-Analysis]
Ta D (2026). [PMID: 41535863](https://pubmed.ncbi.nlm.nih.gov/41535863/). *Orphanet J Rare Dis*. [Diagnostic / Biomarker]
Proteau-Lemieux M (2026). [PMID: 41657078](https://pubmed.ncbi.nlm.nih.gov/41657078/). *Autism Res*. [Basic Science / Preclinical]
Planté-Bordeneuve P (2025). [PMID: 39709004](https://pubmed.ncbi.nlm.nih.gov/39709004/). *Eur J Med Genet*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 6:36 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center