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Living with Cockayne syndrome type 1

A rare genetic condition affecting growth and development, with a small head, short height, delayed milestones, and sun sensitivity.

Understanding Cockayne syndrome type 1

Cockayne syndrome type 1 is a rare genetic disorder that affects growth and development.

A smaller head size, short height, and delayed milestones define it. Symptoms can begin in infancy and worsen over time. Most people are extremely sensitive to sunlight. Brain scans can show parts of the brain shrinking over time. In classic type I, children grow normally before birth but show growth and developmental delays within the first two years, then develop vision and hearing loss and other severe disabilities. GARD lists onset during pregnancy, at birth, and in infancy.

Signs & symptoms

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

  • Small head size
  • Slow growth and short height
  • Delayed milestones
  • Sensitivity to sunlight
  • Vision and hearing loss
  • Poor balance and coordination (ataxia)

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

  3. Consider genetic testing

    Changes in ERCC8 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
Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists)
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 Cockayne Syndrome 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 ERCC8 genetic testing confirm the diagnosis?
How can we protect my child from sun exposure?
How often should vision and hearing be checked?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesERCC8

GARD says changes in the ERCC8 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: classical cockayne syndrome; cockayne syndrome type i; cockayne syndrome a; cockayne syndrome caused by mutation in ercc8; cockayne syndrome classic form; cockayne syndrome classical

Patient organizations

Source: NIH GARD · Cockayne syndrome type 1GARD ID 1415 · 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 Cockayne syndrome type 1.

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