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Living with Developmental delay with autism spectrum disorder and gait instability

A rare genetic condition with developmental delay, autism-spectrum features, limited language, and an unsteady, broad-based walk.

Understanding Developmental delay with autism spectrum disorder and gait instability

Developmental delay with autism spectrum disorder and gait instability is a rare genetic neurological condition that begins in infancy.

It includes low muscle tone and feeding difficulties in infancy, global developmental delay, and mild to moderate intellectual disability. Walking starts late and is broad-based, with arms held up and bent at the elbow. Language is limited. Behavior ranges from sociable and affectionate to autistic.

Signs & symptoms

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

  • Delayed walking
  • Unsteady walk
  • Delayed speech and language
  • Autistic behavior
  • Intellectual disability
  • Self-injury

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 HERC2 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 Organization for Autism Research
  • 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 HERC2 gene confirm the diagnosis?
Which therapies can help with walking and speech?
How can behavior and feeding be supported?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesHERC2

Changes in the HERC2 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: developmental delay with asd and gait instability; intellectual developmental disorder, autosomal recessive 38; intellectual disability, autosomal recessive type 38

Patient organizations

Source: NIH GARD · Developmental delay with autism spectrum disorder and gait instabilityGARD ID 17496 · 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 Developmental delay with autism spectrum disorder and gait instability.

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