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Living with Baraitser-Winter syndrome

A genetic condition that affects how the face and brain develop, with distinctive facial features and seizures.

Understanding Baraitser-Winter syndrome

Baraitser-Winter syndrome is a condition that affects the development of many parts of the body, particularly the face and brain.

An unusual facial appearance is the most common feature. Most people also have brain differences from nerve cells not moving to the right place, most often pachygyria (a smoother brain surface with fewer folds). These can cause intellectual disability that ranges from mild to severe, developmental delay, and seizures. Other features can include short height, hearing loss, heart and kidney differences, and limited joint movement.

Signs & symptoms

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

  • Wide-set eyes and droopy eyelids
  • Coarse facial features
  • Small head size (microcephaly)
  • Brain surface differences (such as pachygyria)
  • Eye differences such as iris coloboma
  • Kidney and urinary tract differences

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, eye disease specialists, genetic specialists and seizure and epilepsy 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); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
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 Epilepsy Foundation
  • 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 find which gene is involved?
How can seizures be monitored and managed?
Should hearing, heart, and kidneys be checked?

Quick facts

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

Changes in genes (also called variants) cause this condition. It is autosomal dominant, so a change in one copy of a gene can cause it.

GeneticNeurological

Also known as: baraitser-winter cerebrofrontofacial syndrome; cerebrooculofacial lymphatic syndrome; cofl syndrome; fryns-aftimos syndrome; fryns-aftimos syndrome (pachygyria, mental retardation, epilepsy, and characteristic facies)

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Baraitser-Winter syndromeGARD ID 5279 · 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 Baraitser-Winter syndrome.

Explore the Baraitser-Winter syndrome blog

Explore research for Baraitser-Winter syndrome

Explore actively recruiting Baraitser-Winter syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Baraitser-Winter syndrome 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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