OBSOLETE: Isolated megalencephaly

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ORPHA:268920
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Overview

Isolated megalencephaly is a condition where the brain is abnormally large, meaning it weighs significantly more than expected for a person's age and sex. The term 'megalencephaly' literally means 'large brain.' In this isolated form, the enlarged brain occurs on its own without being part of a broader syndrome or associated with other major birth defects. It is important to note that this specific Orphanet entry (268920) has been marked as OBSOLETE, meaning the classification has been retired or merged into other, more specific diagnostic categories as medical understanding has advanced. Megalencephaly can range from a benign condition — sometimes called benign familial megalencephaly, where a child simply has a larger-than-average head and brain with normal development — to more concerning forms that may be associated with developmental delays, seizures, or other neurological problems. The brain overgrowth can sometimes lead to increased pressure inside the skull or difficulties with motor skills and learning. Because this entry is obsolete, patients and families who were previously given this diagnosis should work with their doctors to determine whether a more current and specific diagnosis applies. Modern genetic testing has helped reclassify many cases of megalencephaly into specific genetic conditions, such as those caused by mutations in the PI3K-AKT-mTOR signaling pathway. Treatment depends on the underlying cause and symptoms, and may include medications for seizures, physical therapy, occupational therapy, and regular monitoring of head growth and development.

Also known as:

Key symptoms:

Abnormally large head size (macrocephaly)Rapid head growth in infancyDevelopmental delaysSeizures or epilepsyMuscle tone problems (too stiff or too floppy)Difficulty with coordination and balanceLearning difficultiesSpeech delaysBehavioral challengesHeadaches

Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for OBSOLETE: Isolated megalencephaly.

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No actively recruiting trials found for OBSOLETE: Isolated megalencephaly at this time.

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No specialists are currently listed for OBSOLETE: Isolated megalencephaly.

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Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to OBSOLETE: Isolated megalencephaly.

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Community

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Caregiver Resources

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Social Security Disability

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Questions for your doctor

Bring these to your next appointment

  • Q1.Has a specific genetic cause been identified for my child's megalencephaly?,Should we pursue genetic testing, and if so, which type?,What developmental milestones should we be watching for?,Are there any clinical trials or targeted therapies available for our specific diagnosis?,How often should brain imaging (MRI) be repeated?,What early intervention services do you recommend?,Is this condition likely to be inherited, and should other family members be tested?

Common questions about OBSOLETE: Isolated megalencephaly

What is OBSOLETE: Isolated megalencephaly?

Isolated megalencephaly is a condition where the brain is abnormally large, meaning it weighs significantly more than expected for a person's age and sex. The term 'megalencephaly' literally means 'large brain.' In this isolated form, the enlarged brain occurs on its own without being part of a broader syndrome or associated with other major birth defects. It is important to note that this specific Orphanet entry (268920) has been marked as OBSOLETE, meaning the classification has been retired or merged into other, more specific diagnostic categories as medical understanding has advanced. Meg

At what age does OBSOLETE: Isolated megalencephaly typically begin?

Typical onset of OBSOLETE: Isolated megalencephaly is infantile. Age of onset can vary across affected individuals.