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Living with Cerebro-costo-mandibular syndrome

A condition with a very small jaw, differences in the roof of the mouth, and rib defects, sometimes causing breathing problems.

Understanding Cerebro-costo-mandibular syndrome

Cerebro-costo-mandibular syndrome (CCMS) is a condition with a very small jaw (micrognathia), differences in the palate, and rib defects.

Other signs can include intellectual disability and a small head. In some cases these features cause breathing problems. It begins during pregnancy or at birth. Most cases seem to happen by chance.

Signs & symptoms

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

  • Cleft palate
  • Bell-shaped chest
  • Feeding difficulties
  • Hearing loss from missing ear canals (conductive)
  • Floppy windpipe (tracheomalacia)
  • Intellectual disability

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 SNRPB are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 SNRPB genetic testing confirm the diagnosis?
What breathing and feeding support is needed?
Which specialists should care for the jaw, ribs, and ears?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive
GenesSNRPB

Changes in the SNRPB gene cause this condition. Most cases happen by chance, but GARD says both autosomal dominant and autosomal recessive inheritance have been reported.

GeneticNeurological

Also known as: ccms; cerebrocostomandibular syndrome; rib gap defects with micrognathia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cerebro-costo-mandibular syndromeGARD ID 6026 · 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 Cerebro-costo-mandibular syndrome.

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