8A61.00

ICD-11 MMS 2026-01

Pyridoxal dependent epilepsy

Description

Pyridoxal 5-phosphate dependent epilepsy usually presents with neonatal intractable seizures and is diagnosed by cerebrospinal fluid (CSF) analysis, gene testing, and clinical response. The majority of patients have pyridoxamine 5'-phosphate oxidase (PNPO) gene disease causing mutations. Early diagnosis and effective treatment can lead to a relatively favourable neurodevelopmental outcome.

Coding note from above levels

Use additional code, if desired, to identify the type of seizure.

Index terms

  • Pyridoxal dependent epilepsy

Exclusions from above levels

  • 8A60.0 – Epilepsy due to prenatal or perinatal brain insults
  • KB06 – Neonatal seizures
  • MG45 – Syncope
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  • 05 – Endocrine, nutritional or metabolic diseases
  • 18 – Complications of pregnancy, childbirth and the puerperium
  • 19 – Certain conditions originating in the perinatal period
  • 22 – Injury, poisoning or certain other consequences of external causes

Sibling codes

  • 8A61.0Y – Other specified genetic epileptic syndromes with neonatal onset
  • 8A61.0Z – Genetic epileptic syndromes with neonatal onset, unspecified

Foundation entity

Pyridoxal dependent epilepsy – http://id.who.int/icd/entity/1632334328

Allowed postcoordination axes

Part of: 8A61.0: Genetic epileptic syndromes with neonatal onset › 8A61: Genetic or presumed genetic syndromes primarily expressed as epilepsy › 08: Diseases of the nervous system