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Living with Deafness dystonia syndrome

A genetic condition mostly in males, with hearing loss in childhood, later movement and vision problems, and behavior changes.

Understanding Deafness dystonia syndrome

Deafness dystonia syndrome, also called Mohr-Tranebjaerg syndrome or DDON syndrome, causes early hearing loss, movement problems, vision loss, and behavior changes.

It occurs almost only in males. Hearing loss from inner ear nerve damage starts in early childhood and worsens over time. Movement problems usually begin in the teens. Vision problems from damage to the optic nerve may start in adolescence. Many people also have a gradual decline in thinking skills (dementia) in their forties.

Signs & symptoms

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

  • Hearing loss starting in early childhood
  • Muscle tensing (dystonia)
  • Optic nerve damage (optic atrophy)
  • Behavior changes
  • Decline in thinking skills
  • Hyperactive reflexes

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, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TIMM8A 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

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 United Mitochondrial Disease Foundation 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
Can genetic testing of the TIMM8A gene confirm the diagnosis?
How often should hearing and vision be checked?
What supports can help with movement and behavior changes?

Quick facts

Symptoms usually startChild
InheritanceX-Linked, Mitochondrial
GenesTIMM8A

Changes in the TIMM8A gene cause this condition. GARD lists X-linked and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: ddon syndrome; deafness dystonia optic atrophy syndrome; deafness dystonia optic neuronopathy syndrome; deafness dystonia optic neuronopathy syndrome (ddon); deafness syndrome, progressive, with blindness, dystonia, fractures, and mental deficiency; deafness-dystonia syndrome

Patient organizations

Source: NIH GARD · Deafness dystonia syndromeGARD ID 8331 · 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 Deafness dystonia syndrome.

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