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Living with C syndrome

A rare genetic syndrome with a pointed forehead, severe intellectual disability, low muscle tone, and heart differences.

Understanding C syndrome

C syndrome, also called Opitz trigonocephaly syndrome, is a rare genetic syndrome with a pointed forehead (trigonocephaly) and severe intellectual disability.

Other features include low muscle tone, a range of heart differences, extra folds of skin, joint and limb differences, and distinct facial features. Signs can start during pregnancy or at birth. The inheritance pattern varies, and many cases occur by chance.

Signs & symptoms

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

  • Pointed forehead (trigonocephaly)
  • Severe intellectual disability
  • Small head (microcephaly)
  • Heart differences
  • Slow weight gain in infancy
  • Crossed eyes and upslanted eye openings

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CD96 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial 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 CD96 gene testing be done for my child?
Which heart tests are needed and how often?
Which therapies can support development?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesCD96

Some cases have been linked to the CD96 gene. Many cases occur by chance, and more than one inheritance pattern has been suggested.

GeneticNeurological

Also known as: opitz c trigonocephaly; opitz trigonocephaly c syndrome; opitz trigonocephaly syndrome; otcs; trigonocephaly c syndrome; trigonocephaly syndrome

Patient organizations

Source: NIH GARD · C syndromeGARD ID 5978 · 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 C syndrome.

Explore the C syndrome blog

Explore research for C syndrome

Explore actively recruiting C syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for C 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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