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Living with Brain dopamine-serotonin vesicular transport disease

A rare genetic condition starting in infancy that affects movement, muscle tone, and body functions like blood pressure.

Understanding Brain dopamine-serotonin vesicular transport disease

Brain dopamine-serotonin vesicular transport disease is a rare genetic condition that begins in infancy.

It causes involuntary muscle contractions (dystonia), stiffness and tremors (parkinsonism), and trouble walking. It can also affect the autonomic nervous system, which controls body functions like blood pressure and body temperature. Children may have developmental delays and mood changes.

Signs & symptoms

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

  • Involuntary muscle contractions (dystonia)
  • Trouble walking
  • Poor coordination (ataxia)
  • Low muscle tone
  • Delays in development
  • Sleep problems and excessive sweating

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 SLC18A2 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

    Dystonia Medical Research 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: Dystonia Medical Research 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 Dystonia Medical Research 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 SLC18A2 gene testing confirm the diagnosis?
Which specialists should follow movement and body functions?
How can mood and sleep be supported?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC18A2

Changes in the SLC18A2 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: brain monoamine vesicular transport disease; parkinsonism-dystonia 2, infantile-onset; parkinsonism-dystonia, infantile, 2; pkdys2

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Brain dopamine-serotonin vesicular transport diseaseGARD ID 13594 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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