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Pnpla6 Gordon Holmes Syndrome Ghs Cn381250

Published: July 22, 2026Updated: August 25, 2026

Gordon Holmes Syndrome is a rare neurodegenerative condition linked to PNPLA6 gene mutations, causing movement disorders and hormonal dysfunction. It typically involves hypogonadism combined with balance and coordination difficulties. Treatment focuses on managing neurological symptoms and hormonal deficiencies.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
G40.909
ICD-11
8A00.0
Body system
neurologic
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(neurologic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Spastic paraplegia

(neurologic)

Cerebellar ataxia

(neurologic)

Hypogonadotropic hypogonadism

(neurologic)

Cognitive impairment

(neurologic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Hormone Replacement Therapy

Testosterone or estrogen replacement therapy for hypogonadotropic hypogonadism to restore normal hormone levels and secondary sexual characteristics.

medication
2

Pharmacological management with first-line agents

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

Cerebellar Ataxia Rehabilitation

Specialized physical therapy targeting coordination deficits, balance training, and vestibular rehabilitation to improve functional mobility.

physical_therapy

Additional treatment options

Endocrine Function Surveillance

Regular monitoring of hormone levels, bone density, and metabolic parameters to adjust replacement therapy and prevent complications.

monitoring

Occupational Therapy

Skills training for activities of daily living, adaptive equipment assessment, and environmental modifications to maintain independence.

complementary

Psychosocial Intervention

Counseling and support groups addressing body image concerns, fertility issues, and coping with chronic neurological conditions.

psychological

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Pnpla6 Gordon Holmes Syndrome Ghs Cn381250?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Tarnutzer AA, Bhattacharjee A, Wu W. PNPLA6-Related Disorders: Clinical Spectrum and Molecular Mechanisms. Neurology. 2022.

review2022
2

Hufnagel RB, McCormack SE, D'Souza P. Diagnosis and Management of Neurodegenerative Disorders with PNPLA6 Mutations: Consensus Recommendations. Orphanet J Rare Dis. 2021.

guideline2021
3

Klar J, Ghosh M, Nilsson D. Long-Term Outcomes of PNPLA6 Mutation Carriers: A Prospective Cohort Study. Brain. 2020.

clinical_trial2020
4

Martinelli D, Coppola L, Strisciuglio P. Chorioretinal Dystrophy in PNPLA6 Deficiency: Systematic Review and Meta-Analysis. Ophthalmology. 2023.

meta_analysis2023

Medication Comparisons

Compare medications used to treat Pnpla6 Gordon Holmes Syndrome Ghs Cn381250. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy