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Living with Craniofrontonasal syndrome

A rare X-linked condition in which skull bones close early, shaping the head and face, usually more severe in females.

Understanding Craniofrontonasal syndrome

Craniofrontonasal syndrome is a rare condition in which some skull bones close too early, affecting the shape of the head and face.

The coronal suture, the growth line from ear to ear, closes early. People may have an uneven face, wide-set eyes, crossed eyes, a split in the nose tip, a wide nose bridge, or a cleft lip with or without cleft palate. Some have a missing or underdeveloped corpus callosum, though intelligence is usually unaffected. Females usually have more severe signs than males.

Signs & symptoms

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

  • Early closure of skull bones (craniosynostosis)
  • Uneven face (facial asymmetry)
  • Wide-set eyes
  • Cleft lip or palate
  • Extra or joined fingers
  • Very flexible joints

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in EFNB1 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
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 Craniosynostosis and Positional Plagiocephaly Support Inc 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
Would EFNB1 gene testing help our family?
When is skull surgery considered, and what are the options?
Which specialists, such as craniofacial teams, should we see?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesEFNB1

It is caused by changes in the EFNB1 gene. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: cfnd; cfns; craniofrontonasal dysostosis; craniofrontonasal dysplasia; craniofrontonasal dysplasia, x-linked dominant

Patient organizations

Source: NIH GARD · Craniofrontonasal syndromeGARD ID 1578 · 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 Craniofrontonasal syndrome.

Explore the Craniofrontonasal syndrome blog

Explore research for Craniofrontonasal syndrome

Explore actively recruiting Craniofrontonasal syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Craniofrontonasal syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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