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Living with Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndrome

A rare genetic condition with severe developmental delay, small head size, cataracts from birth and a birthmark on the forehead.

Understanding Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndrome

This is a rare genetic syndrome that combines severe intellectual disability, a small head, cataracts from birth and a port-wine stain on the forehead.

Children have severe global developmental delay, slow growth and eye differences. Most also have heart, urinary and genital, or bone differences, and seizures. Facial features include sparse hair, downslanting eyes and wide-set eyes. It is seen before birth, at birth and in infancy.

Signs & symptoms

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

  • Severe developmental delay and intellectual disability
  • Small head size (microcephaly)
  • Cataract from birth
  • Port-wine stain on the forehead
  • Seizures
  • Low muscle tone and no speech

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MED25 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); Eye disease specialists (ophthalmologists); 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 MED25 gene?
What eye care is needed for the cataracts?
What therapies and supports can help development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesMED25

Changes in the MED25 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticNeurological

Also known as: basel vanagaite smirin yosef syndrome; basel-vanagait-smirin-yosef syndrome; basel-vanagaite-smirin-yosef syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeGARD ID 17821 · 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 Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndrome.

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