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Living with Allan-Herndon-Dudley syndrome

A rare brain development disorder in males that causes intellectual disability and movement problems.

Understanding Allan-Herndon-Dudley syndrome

Allan-Herndon-Dudley syndrome is a rare disorder of brain development that causes moderate to severe intellectual disability and movement problems.

It occurs only in males and affects development before birth. Speech is limited, but affected males seem to enjoy interacting with people. Most children have low muscle tone and underdeveloped muscles. Later, joints can become stiff (contractures), and muscle stiffness, weakness, and involuntary movements limit mobility. Many people can't walk independently and use a wheelchair by adulthood.

Signs & symptoms

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

  • Delayed walking
  • Low muscle tone (hypotonia)
  • Trouble with balance and coordination (ataxia)
  • Slow or limited movement
  • Twisting, writhing movements (choreoathetosis)
  • Changes in thyroid function

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 hormone specialists.

  3. Consider genetic testing

    Changes in SLC16A2 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

    Spastic Paraplegia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Spastic Paraplegia 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 MCT8-AHDS Foundation 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 SLC16A2 available for our family?
Which tests should check thyroid function?
What therapies and mobility aids can help my child?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked
GenesSLC16A2

Changes in the SLC16A2 gene cause this condition, and it is inherited in an X-linked way.

GeneticNeurologicalEndocrine

Also known as: ahds; allan-herndon syndrome; mct8 (slc16a2)-specific thyroid hormone cell transporter deficiency; mct8 deficiency; mct8-specific thyroid hormone cell membrane transporter deficiency; mct8-specific thyroid hormone cell transporter deficiency

Patient organizations

Source: NIH GARD · Allan-Herndon-Dudley syndromeGARD ID 5617 · 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 Allan-Herndon-Dudley syndrome.

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