Objective　To explore the clinical and the genetic features of infantile neuroaxonal dystrophy (INAD). Methods　The clinical and laboratory data, neuroimaging examination and genetic testing results of one child with INAD were retrospectively analyzed. Results　A 2 years old boy presented motor and verbal dexterity regression and hypotonia. Laboratory findings revealed decreased total iron-binding capacity in serum with increased glutamic oxaloacetic transaminase (AST) and lactic dehydrogenase (LDH). Myoelectrography showed neurogenic impairments of the arms and legs, and the color doppler ultrasound of the heart, video-EEG and brain MRI results were normal. A homozygous mutation of c.1077G>A was found in PLA2G6 gene of the infant. The infant’s parents were heterozygous mutation carriers at this locus. Conclusions　PLA2G6 gene mutations cause INAD.