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Living with Bilateral frontoparietal polymicrogyria

A rare brain condition in which the front and upper-middle brain has too many small folds, affecting learning, movement, and seizures.

Understanding Bilateral frontoparietal polymicrogyria

Bilateral frontoparietal polymicrogyria (BFPP) is a rare brain condition that affects the frontal and parietal lobes on both sides of the brain.

It affects the cerebral cortex, the outer surface of the brain, and is present from before birth or infancy. Signs typically include moderate to severe intellectual disability, developmental delay, seizures, unsteadiness (cerebellar ataxia), and eyes that are not aligned.

Signs & symptoms

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

  • Intellectual disability
  • Delays in development and movement
  • Seizures
  • Unsteady walking (ataxia)
  • Eyes turning inward (esotropia)
  • Trouble with language

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 ADGRG1 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

    PMG Awareness Organization 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: PMG Awareness Organization, 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 PMG Awareness Organization 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
Can ADGRG1 gene testing confirm the diagnosis?
Which therapies might help development and movement?
How will seizures and eye alignment be followed?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesADGRG1

Changes in the ADGRG1 gene (also called GPR56) cause some cases. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: bfpp - bilateral frontoparietal polymicrogyria; cerebellar ataxia with neuronal migration defect; cortical dysplasia, complex, with other brain malformations 14a (bilateral frontoparietal)

Patient organizations

Source: NIH GARD · Bilateral frontoparietal polymicrogyriaGARD ID 10784 · 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

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