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Living with Central nervous system calcification-deafness-tubular acidosis-anemia syndrome

A rare genetic condition with calcium deposits in the brain, hearing loss, slow growth, and anemia, starting in infancy.

Understanding Central nervous system calcification-deafness-tubular acidosis-anemia syndrome

Central nervous system calcification-deafness-tubular acidosis-anemia syndrome is a rare genetic nervous system disorder that starts early in infancy.

Calcium builds up in the brain and spinal cord over time. Other features include slow growth, loss of skills, hearing loss, a type of anemia, and sometimes a kidney problem called distal renal tubular acidosis.

Signs & symptoms

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

  • Hearing loss (no response on brainstem hearing tests)
  • No speech development
  • Slow growth
  • Anemia with small, pale red blood cells
  • Shrinking of the brain (cerebral atrophy)
  • Head shaking (head titubation)

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 allergy and immune system specialists, brain and nervous system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in KARS1 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

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency 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 National Kidney 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 KARS1 genetic testing confirm the diagnosis?
What hearing and development support is available?
How should the kidneys and blood counts be checked?

Quick facts

InheritanceAutosomal Recessive
GenesKARS1

Changes in the KARS1 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.

GeneticNeurologicalKidney

Also known as: central nervous system calcification-hearing loss-tubular acidosis-anemia syndrome; central nervous system calcification, deafness, tubular acidosis, anemia syndrome; yoshimura takeshita syndrome; yoshimura-takeshita syndrome

Patient organizations

Source: NIH GARD · Central nervous system calcification-deafness-tubular acidosis-anemia syndromeGARD ID 18789 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Central nervous system calcification-deafness-tubular acidosis-anemia syndrome.

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