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Living with Asxl3-related disorder

A rare genetic condition that affects learning and growth, with a small head, feeding difficulties, and developmental delay.

Understanding Asxl3-related disorder

ASXL3-related disorder is a rare genetic condition that affects a person's ability to learn and grow.

People may have a small head (microcephaly), severe feeding difficulties, and slow growth. Global developmental delay is often severe and can lead to speech delays, intellectual disability, and low muscle tone. Features can include a large forehead, wide-set eyes, a long nose, loose joints, and wrists that bend inward. It is seen from pregnancy through infancy.

Signs & symptoms

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

  • Small head (microcephaly)
  • Feeding difficulties in infancy
  • Delayed development
  • Absent or very delayed speech
  • Low muscle tone (floppy infant)
  • Autistic behavior

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. Consider genetic testing

    Changes in ASXL3 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

    ASXL Rare Research Endowment Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: ASXL Rare Research Endowment 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 ASXL Rare Research Endowment 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
What feeding support does my child need?
Which therapies help speech, movement, and learning?
Would ASXL3 testing help clarify the chance for future children?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesASXL3

GARD says changes in the ASXL3 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: bainbridge ropers syndrome; bainbridge-ropers syndrome; brps; Severe feeding difficulties-failure to thrive-microcephaly due to ASXL3 deficiency syndrome; severe feeding difficulties, failure to thrive, microcephaly due to asxl transcriptional regulator 3 deficiency syndrome; severe feeding difficulties, failure to thrive, microcephaly due to asxl3 deficiency syndrome

Patient organizations

Source: NIH GARD · Asxl3-related disorderGARD ID 13259 · 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 Asxl3-related disorder.

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Explore research for Asxl3-related disorder

Explore actively recruiting Asxl3-related disorder studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Asxl3-related disorder with HealthSpark. Share your city to explore research near you.

  • 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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