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Living with Congenital ichthyosis-microcephalus-tetraplegia syndrome

A rare condition with scaly skin from birth, small head size, hearing loss, seizures and stiff or paralyzed limbs.

Understanding Congenital ichthyosis-microcephalus-tetraplegia syndrome

Congenital ichthyosis-microcephalus-tetraplegia syndrome is a rare condition that combines scaly skin from birth with serious nervous system signs.

Children have ichthyosis (dry, scaly skin) with severe developmental delay, a small head, hearing loss from inner ear or nerve problems, and spastic weakness in all four limbs. Writhing movements, muscle jerks and tonic spasms have been reported. A brain MRI shows shrinking of the brain's outer layer. It is seen in newborns and infants.

Signs & symptoms

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

  • Dry, scaly skin (ichthyosis)
  • Small head size (microcephaly)
  • Weakness or paralysis of all four limbs
  • Increased reflexes
  • Pain insensitivity
  • Hearing loss

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 genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
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 Foundation for Ichthyosis and Related Skin Types 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
Is genetic testing available to find the cause?
How should we care for the skin?
What therapies can help with movement and hearing?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes cause this condition, but doesn't list a specific gene or inheritance pattern.

GeneticSkin

Also known as: congenital ichthyosis-microcephalus-quadriplegia syndrome; congenital ichthyosis, microcephalus, quadriplegia syndrome; congenital ichthyosis, microcephalus, tetraplegia syndrome

Patient organizations

Source: NIH GARD · Congenital ichthyosis-microcephalus-tetraplegia syndromeGARD ID 1489 · 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 ichthyosis-microcephalus-tetraplegia syndrome.

Explore the Congenital ichthyosis-microcephalus-tetraplegia syndrome blog

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