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Living with Brunner syndrome

A rare condition, almost only in males, with mild intellectual disability and behavior and impulse control challenges from early childhood.

Understanding Brunner syndrome

Brunner syndrome, also called monoamine oxidase A deficiency, is a rare condition that occurs almost only in males.

It involves mild intellectual disability and behavior problems starting in early childhood. Many boys have trouble controlling impulses, with outbursts. Features of autism spectrum disorder or ADHD can occur. Sleep problems are possible. Some people have episodes of flushing, sweating, headaches, or diarrhea, and certain foods such as cheese may make symptoms worse.

Signs & symptoms

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

  • Behavior differences
  • Mild intellectual disability
  • Trouble controlling impulses
  • Sleep problems
  • Flushing, sweating, headaches, or diarrhea episodes
  • Features of autism or ADHD

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 MAOA 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

    Monoamine Oxidase Deficiency Foundation (MAODF) 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: Monoamine Oxidase Deficiency Foundation (MAODF)
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 Monoamine Oxidase Deficiency Foundation (MAODF) 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 MAOA gene testing confirm the diagnosis?
Do certain foods, such as cheese, make symptoms worse?
What behavior and sleep supports are available?

Quick facts

Symptoms usually startChild
InheritanceX-Linked
GenesMAOA

Changes in the MAOA gene on the X chromosome cause this condition. It is inherited in an X-linked way.

GeneticNeurologicalInherited Metabolic

Also known as: antisocial behavior, x-linked recessive; brnrs; brunner syndrome, x-linked recessive; deficiency of monoamine oxidase a; monoamine oxidase a deficiency

Patient organizations

Source: NIH GARD · Brunner syndromeGARD ID 3531 · 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 Brunner syndrome.

Explore the Brunner syndrome blog

Explore research for Brunner syndrome

Explore actively recruiting Brunner syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Brunner syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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