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Living with Deficiency of aromatic-L-amino-acid decarboxylase

An inherited condition that affects how nerve cells pass messages, causing movement problems and developmental delay.

Understanding Deficiency of aromatic-L-amino-acid decarboxylase

Deficiency of aromatic-L-amino-acid decarboxylase (AADC deficiency) is an inherited condition that affects how nerve cells send information to other cells.

Symptoms usually appear in the first six months of life. Babies may have feeding problems, low muscle tone, and sleep problems. Most children have episodes called oculogyric crises, in which the eyes roll upward without control. Developmental delay and intellectual disability are common.

Signs & symptoms

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

  • Feeding difficulties
  • Muscle tensing that twists the body (dystonia)
  • Sleep problems
  • Delayed development overall
  • Acid reflux
  • Excessive sweating

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 DDC are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Pediatric Neurotransmitter Disease Association
  • 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 DDC gene confirm the diagnosis?
How can we manage the eye-rolling episodes?
Which therapies help with movement and feeding?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesDDC

Changes in the DDC gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: aadc deficiency; aromatic amino acid decarboxylase deficiency; aromatic l-amino acid decarboxylase deficiency; aromatic l-amino-acid decarboxylase deficiency; ddc deficiency; deficiency of dopa decarboxylase

Patient organizations

Source: NIH GARD · Deficiency of aromatic-L-amino-acid decarboxylaseGARD ID 770 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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