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Living with Developmental and epileptic encephalopathy, 9

A rare X-linked epilepsy that affects only females, with seizures starting in early childhood and often learning challenges.

Understanding Developmental and epileptic encephalopathy, 9

Developmental and epileptic encephalopathy 9, also called female restricted epilepsy with intellectual disability, is a rare X-linked epilepsy that affects females.

Seizures, with or without fever, start in the first years of life. Most are tonic-clonic, but absence, myoclonic, and atonic seizures also occur. In most cases there is developmental delay and intellectual disability of varying severity. Behavior differences such as autistic features and hyperactivity are common. Male carriers are unaffected.

Signs & symptoms

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

  • Seizures of several types
  • Global developmental delay
  • Autistic behavior
  • Attention deficit hyperactivity disorder (ADHD)
  • Long seizures without recovery (status epilepticus)
  • Atonic seizures

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 seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
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 PCDH19 Alliance 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 help our family and other female relatives?
Which seizure treatments might help?
How can behavior and learning be supported?

Quick facts

InheritanceX-Linked

GARD doesn't name a gene. It lists X-linked inheritance, meaning the gene is on the X chromosome. Only females are affected, even though male carriers exist.

Also known as: dee9; developmental and epileptic encephalopathy 9; early infantile epileptic encephalopathy 9; early infantile epileptic encephalopathy caused by mutation in pcdh19; early infantile epileptic encephalopathy type 9; early infantile female-limited epilecptic encephalopathy

Patient organizations

Source: NIH GARD · Developmental and epileptic encephalopathy, 9GARD ID 10806 · 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

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