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Living with Creatine transporter deficiency

An inherited condition that mainly affects the brain, causing intellectual disability and delayed speech, mostly in males.

Understanding Creatine transporter deficiency

Creatine transporter deficiency (X-linked creatine deficiency) is an inherited condition that mainly affects the brain.

People have intellectual disability from mild to severe and delayed speech. Some have behavior conditions such as ADHD or autistic behaviors, and some have seizures. Children may grow slowly, be late sitting and walking, and tire easily. A few people have heart rhythm problems, a small head, or distinctive facial features. It starts in infancy and childhood.

Signs & symptoms

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

  • Intellectual disability
  • Delayed speech and language
  • Seizures
  • Autistic behavior and hyperactivity
  • Low muscle tone (hypotonia)
  • Short stature

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in SLC6A8 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 Association for Creatine Deficiencies 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 SLC6A8 gene testing help me and my female relatives?
What therapies can help with speech and learning?
How should seizures and heart rhythm be monitored?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceX-Linked
GenesSLC6A8

It is caused by changes in the SLC6A8 gene. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurologicalInherited Metabolic

Also known as: ccds1; cerebral creatine deficiency syndrome 1; cerebral creatine deficiency syndrome 1, x-linked recessive; cerebral creatine deficiency syndrome type 1; creatine transporter defect; mental retardation , x-linked with seizures, short stature and midface hypoplasia

Patient organizations

Source: NIH GARD · Creatine transporter deficiencyGARD ID 1608 · 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 Creatine transporter deficiency.

Explore the Creatine transporter deficiency blog

Explore research for Creatine transporter deficiency

Explore actively recruiting Creatine transporter deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Creatine transporter deficiency 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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