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Living with 2q23.1 microduplication syndrome

A rare chromosome condition that can bring delayed development, low muscle tone, and autism-like behavior.

Understanding 2q23.1 microduplication syndrome

2q23.1 microduplication syndrome is a rare condition caused by an extra piece of genetic material on chromosome 2.

People with this condition have global developmental delay and low muscle tone (hypotonia). Autism-like behavior and other behavior differences are part of it. Facial features may be different, such as high eyebrows, wide-set eyes, and droopy eyelids. Some people have a friendly personality, and some have small differences in the fingers and toes. GARD lists onset as the newborn and infant period.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Global developmental delay
  • Low muscle tone in infants (floppy infant)
  • Autistic behavior
  • Sleep disturbance
  • Crossed eyes (strabismus)
  • Droopy upper eyelids (ptosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Simons Searchlight and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What therapies can help with low muscle tone?
Should my child be evaluated for autism?
Does my child need an eye exam for crossed eyes or droopy lids?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes (also called variants) cause this condition. The summary describes it as an extra piece of genetic material on chromosome 2.

GeneticNeurological

Also known as: dup(2)(q23.1); trisomy 2q23.1

Patient organizations

Source: NIH GARD · 2q23.1 microduplication syndromeGARD ID 21363 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with 2q23.1 microduplication syndrome.

Explore the 2q23.1 microduplication syndrome blog

Explore research for 2q23.1 microduplication syndrome

Explore actively recruiting 2q23.1 microduplication syndrome studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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