Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome

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ORPHA:363400OMIM:615924G31.8
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Overview

Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome, also known as BSCL2-related neurodegeneration or Celia's encephalopathy, is an extremely rare genetic condition that affects the brain and body fat distribution. It is caused by specific mutations in the BSCL2 gene (also called seipin), which is important for both brain development and fat cell function. Children with this condition typically appear healthy at birth but begin to show signs of developmental problems in early childhood. The disease causes progressive damage to the brain (encephalopathy), leading to loss of previously acquired skills such as walking, talking, and the ability to interact with others. Over time, children experience severe neurological decline, including seizures, loss of muscle control, and intellectual disability. In addition to the brain problems, affected children develop lipodystrophy, which means they lose body fat in certain areas, leading to a distinctive physical appearance and metabolic complications such as insulin resistance and high triglyceride levels. Unfortunately, there is currently no cure or disease-modifying treatment for this condition. Care is focused on managing symptoms, providing nutritional support, controlling seizures, and maintaining comfort and quality of life. The disease follows a progressive course, and most affected children have a significantly shortened lifespan.

Also known as:

Key symptoms:

Loss of previously learned skills (developmental regression)SeizuresLoss of body fat (lipodystrophy)Severe intellectual disabilityDifficulty walking or loss of ability to walkLoss of speechMuscle stiffness or spasticityInvoluntary movementsDifficulty swallowingPoor growth and failure to thriveInsulin resistanceHigh triglyceride levels in the bloodEnlarged liverIrritabilityVision problems

Clinical phenotype terms (37)— hover any for plain English
Progressive encephalopathyHP:0002448Reduced subcutaneous adipose tissueHP:0003758Progressive psychomotor deteriorationHP:0007272Generalized lipodystrophyHP:0009064Reduced intraabdominal adipose tissueHP:0025128
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome.

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No actively recruiting trials found for Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome at this time.

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No specialists are currently listed for Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

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 Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome.

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Community

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Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

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Family & Caregiver Grants

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Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What is the expected course of this disease for my child specifically?,What medications and therapies are available to manage seizures and other symptoms?,When should we consider tube feeding, and how will we know it's time?,Are there any clinical trials or research studies we could participate in?,What palliative care services are available to support our family?,Should other family members be tested to see if they carry the gene mutation?,What emergency plans should we have in place for seizures or breathing problems?

Common questions about Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome

What is Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome?

Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome, also known as BSCL2-related neurodegeneration or Celia's encephalopathy, is an extremely rare genetic condition that affects the brain and body fat distribution. It is caused by specific mutations in the BSCL2 gene (also called seipin), which is important for both brain development and fat cell function. Children with this condition typically appear healthy at birth but begin to show signs of developmental problems in early childhood. The disease causes progressive damage to the brain (encephalopathy), leading to loss

How is Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome inherited?

Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome typically begin?

Typical onset of Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome is infantile. Age of onset can vary across affected individuals.