
Living with Developmental and epileptic encephalopathy, 8
A rare X-linked condition with an exaggerated startle response, seizures that start early, and stalled development.
Understanding Developmental and epileptic encephalopathy, 8
Newborns have stiff muscles that later become floppy, and a strong startle response to sudden sights, sounds, or touch. Seizures that are often hard to treat follow. Development may stall and then decline. GARD lists onset in the newborn period.
Signs & symptoms
Symptoms vary from person to person. GARD lists these among the most common:
- Exaggerated startle response
- Tonic seizures
- Seizures with impaired awareness
- Increased muscle tone (hypertonia)
- Loss of developmental milestones
- Underdeveloped frontal lobes of the brain
Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.
Diagnosis
- 1Talk with your doctor
Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.
- 2See a specialist
Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.
- 3Consider genetic testing
Changes in ARHGEF9 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.
- 4Connect 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 Simons Searchlight 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
Quick facts
Changes in the ARHGEF9 gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.
Also known as: arhgef9-related hyperekplexia; dee8; developmental and epileptic encephalopathy 8; early infantile epileptic encephalopathy 8; eiee8; epileptic encephalopathy, early infantile, 8
Patient organizations
- Simons SearchlightDevelopmental and epileptic encephalopathy, 8 · United States
- Epilepsy FoundationEpilepsy · United States
You are more than your diagnosis
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