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Living with Congenital disorder of glycosylation, type IIq

A rare genetic condition in which a child seems typical at birth, then loses skills in the first year, with small head size and seizures.

Understanding Congenital disorder of glycosylation, type IIq

Congenital disorder of glycosylation type IIq is a rare condition caused by changes in the COG2 gene.

Babies appear typical at birth. Then, during the first year of life, they show progressive loss of skills, a head that grows slowly, developmental delay, intellectual disability and seizures. Stiffness in all four limbs, liver problems and low copper levels are described. Brain scans may show shrinking and a thin corpus callosum.

Signs & symptoms

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

  • Loss of skills over time
  • Slow head growth (secondary microcephaly)
  • Intellectual disability
  • Seizures
  • Stiff limbs (spastic tetraplegia)
  • Reduced liver function

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 COG2 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

    CDG CARE may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE
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 CDG CARE
  • 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 COG2 gene?
How should liver function and copper levels be monitored?
What options exist for managing seizures and stiffness?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesCOG2

It is caused by changes in the COG2 gene. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: cdg iiq; cog2-cdg; cog2-cdg - component of oligomeric golgi complex 2 - congenital disorder of glycosylation; cog2-related congenital disorder of glycosylation; component of oligomeric golgi complex 2-related congenital disorder of glycosylation

Patient organizations

  • CDG CARECongenital disorder of glycosylation, type IIq · United States
Source: NIH GARD · Congenital disorder of glycosylation, type IIqGARD ID 17720 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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