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Living with Congenital brain dysgenesis due to glutamine synthetase deficiency

A rare metabolic brain condition in newborns with severe seizures, brain differences, low muscle tone and skin changes.

Understanding Congenital brain dysgenesis due to glutamine synthetase deficiency

Congenital brain dysgenesis due to glutamine synthetase deficiency is a rare condition that affects the brain and body chemistry from the newborn period.

Newborns have severe seizures with brain differences, such as shrinking of brain tissue and a thin corpus callosum. They have low muscle tone and little typical development. Facial differences and a skin rash (necrolytic erythema) can also occur. Tests show low glutamine and long-lasting high ammonia.

Signs & symptoms

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

  • Seizures
  • Severe global developmental delay
  • Low muscle tone (hypotonia)
  • Brain shrinking (atrophy)
  • Breathing trouble in newborns
  • Skin redness (erythema)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in GLUL 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); 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
Should we have genetic testing for the GLUL gene?
How are glutamine and ammonia levels managed?
What are the chances for future pregnancies?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesGLUL

Changes in the GLUL gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: glnd; glutamine synthase deficiency, congenital systemic; inherited glutamine synthetase deficiency; inherited gs deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital brain dysgenesis due to glutamine synthetase deficiencyGARD ID 9848 · 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 Congenital brain dysgenesis due to glutamine synthetase deficiency.

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