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Living with ALG3-congenital disorder of glycosylation

A rare inherited condition with serious nervous system effects, including low muscle tone, delays, and a small head.

Understanding ALG3-congenital disorder of glycosylation

ALG3-congenital disorder of glycosylation is a form of congenital disorder of N-linked glycosylation with severe nervous system involvement.

It involves low muscle tone, developmental delay, intellectual disability, a head that grows slowly after birth, and brain and cerebellum shrinkage over time. Seizures are frequently reported. Some people also have poor weight gain, stiff joints from birth, vision problems, and distinct facial features. It starts in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD's summary says they include:

  • Low muscle tone (hypotonia)
  • Developmental delay
  • Intellectual disability
  • Small head size (microcephaly)
  • Seizures
  • Poor weight gain (failure to thrive)

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 and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in ALG3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    CDG CARE and 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)
Expert care
Expert lists: CDG CARE, 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 CDG CARE 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
Is genetic testing for ALG3 available for our family?
What can help with seizures?
How should vision be checked over time?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesALG3

Changes in the ALG3 gene cause this condition, in a way that stops the gene from working (loss of function). A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: alg3 congenital disorder of glycosylation; alg3-cdg; alg3-cdg - asparagine-linked glycosylation 3 congenital disorder of glycosylation; alg3-cdg (cdg-id); asparagine-linked glycosylation 3 congenital disorder of glycosylation; carbohydrate deficient glycoprotein syndrome type id

Patient organizations

  • CDG CAREALG3-congenital disorder of glycosylation · United States
  • CDG & Allies - PPAINALG3-congenital disorder of glycosylation · Epilepsy Foundation
Source: NIH GARD · ALG3-congenital disorder of glycosylationGARD ID 9827 · 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 ALG3-congenital disorder of glycosylation.

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