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Living with Autosomal recessive cerebral atrophy

A rare inherited brain condition that begins in infancy, with loss of developmental skills and seizures.

Understanding Autosomal recessive cerebral atrophy

Autosomal recessive cerebral atrophy is a rare genetic brain condition in which the outer parts of the brain slowly shrink, starting in early infancy.

The brain's fluid spaces are enlarged, and the cerebral cortex shrinks. Signs in early infancy include a small head, irritability, loss of developmental skills, feeding difficulties, stiff muscles, vision problems, and seizures. Muscle tone is low in the trunk and high in the arms and legs.

Signs & symptoms

GARD doesn't list specific symptoms for this condition. The summary describes these features:

  • Small head size (microcephaly)
  • Irritability
  • Loss of developmental skills
  • Feeding difficulties
  • Stiff muscles (spasticity)
  • Seizures

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 TMPRSS4 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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 rare disease patient organizations for support
  • 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
Can genetic testing for the TMPRSS4 gene confirm the diagnosis?
How can seizures and feeding difficulties be managed?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTMPRSS4

It is caused by changes in the TMPRSS4 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Autosomal recessive cerebral atrophyGARD ID 21560 · 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 Autosomal recessive cerebral atrophy.

Explore the Autosomal recessive cerebral atrophy blog

Explore research for Autosomal recessive cerebral atrophy

Explore actively recruiting Autosomal recessive cerebral atrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Autosomal recessive cerebral atrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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