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Living with 9q33.3q34.11 microdeletion syndrome

A rare chromosome condition that can bring learning challenges, delayed speech, short height, epilepsy, and nosebleeds.

Understanding 9q33.3q34.11 microdeletion syndrome

9q33.3q34.11 microdeletion syndrome is a rare condition caused by a missing piece of the long arm of chromosome 9.

It is marked by intellectual disability, developmental delay with strong speech delay, short stature, and low muscle tone. Epilepsy, poor balance (ataxia), early-onset dystonia, nail differences, and bone differences, especially in the kneecap, can occur. Nosebleeds and small clusters of blood vessels in the skin and mouth (telangiectasias) are also seen. GARD lists onset as infant and child.

Signs & symptoms

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

  • Severe intellectual disability
  • Delayed speech and language
  • Small head size (microcephaly)
  • Nosebleeds (epistaxis)
  • Dislocated kneecap
  • Crossed eyes (strabismus)

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, genetic specialists, seizure and epilepsy specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Epilepsy Foundation
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 Chromosome Disorder Outreach 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
Should my child see a neurologist for seizures and movement?
How should frequent nosebleeds be managed?
Should my child's knees and bones be checked?

Quick facts

Symptoms usually startInfant and as a Child

GARD says changes in genes (also called variants) cause this condition. The summary describes it as a partial loss (monosomy) of the long arm of chromosome 9.

GeneticNeurologicalSkin

Also known as: 9q33.3-q34.11 microdeletion syndrome; del(9)(q33.3q34.11); deletion 9q33.3q34.11; monosomy 9q33.3-q34.11; monosomy 9q33.3q34.11

Patient organizations

Source: NIH GARD · 9q33.3q34.11 microdeletion syndromeGARD ID 22009 · 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 9q33.3q34.11 microdeletion syndrome.

Explore the 9q33.3q34.11 microdeletion syndrome blog

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