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Living with Bilateral generalized polymicrogyria

A rare brain condition with too many small folds across the whole surface of the brain, affecting learning, movement, and seizures.

Understanding Bilateral generalized polymicrogyria

Bilateral generalized polymicrogyria is the most widespread form of polymicrogyria, affecting the whole surface of the brain.

It is present from before birth or infancy. Signs include severe intellectual disability, movement problems, and seizures that are hard to treat. It is thought to come from improper brain development in the womb.

Signs & symptoms

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

  • Severe intellectual disability and developmental delay
  • Seizures
  • Muscle stiffness (spasticity)
  • Low muscle tone in the trunk
  • Trouble feeding
  • Delayed walking and motor skills

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 GRIN1 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

    GRIN2B Foundation, 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: GRIN2B Foundation, 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 GRIN2B 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
Can genetic testing (such as GRIN1) find a cause?
What can help with feeding and movement?
How will seizures be managed if they are hard to control?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesGRIN1

The exact cause is not fully understood. GARD lists the GRIN1 gene. Most cases appear to follow an autosomal recessive pattern.

GeneticNeurological

Also known as: bilateral generalised polymicrogyria; diffuse polymicrogyria; microcephaly, short stature, and polymicrogyria with seizures

Patient organizations

Source: NIH GARD · Bilateral generalized polymicrogyriaGARD ID 10786 · 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 Bilateral generalized polymicrogyria.

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Explore actively recruiting Bilateral generalized polymicrogyria studies with HealthSpark.

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