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Living with Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome

A rare mitochondrial condition with cataracts, short stature, hearing loss, nerve problems, and bone differences.

Understanding Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome

Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome is a rare mitochondrial disease with a wide range of features.

Mitochondria are the energy centers of cells. Features can include delayed motor skills, nerve damage, cataracts, short stature from low growth hormone, eye shaking, hearing loss, and bone differences. Thinking skills are normal. It starts in infancy or childhood.

Signs & symptoms

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

  • Cataract
  • Hearing loss in both ears (sensorineural)
  • Low response to growth hormone testing
  • Trouble swallowing due to achalasia
  • Hip dislocation
  • Knock knees (genu valgum)

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, ear, nose, and throat specialists and eye disease specialists.

  3. Consider genetic testing

    Changes in IARS2 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

    United Mitochondrial Disease Foundation, MitoAction and The Foundation for Peripheral Neuropathy 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); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction, The Foundation for Peripheral Neuropathy
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 CureARS 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 IARS2 genetic testing confirm the diagnosis?
Would growth hormone treatment be an option?
Which specialists should follow hearing, eyes, and bones?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive, Mitochondrial
GenesIARS2

Changes in the IARS2 gene cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent. GARD also lists it as mitochondrial.

GeneticNeurologicalEndocrineInherited MetabolicMitochondrial

Also known as: cagsss; cagsss - cataract, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, skeletal dysplasia syndrome; cataract, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, skeletal dysplasia syndrome; cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia

Patient organizations

Source: NIH GARD · Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndromeGARD ID 17727 · 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 Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome.

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