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Living with Developmental malformations-deafness-dystonia syndrome

A form of dystonia, a movement condition with involuntary muscle contractions, that can come with hearing loss and body differences.

Understanding Developmental malformations-deafness-dystonia syndrome

Developmental malformations-deafness-dystonia syndrome is a form of dystonia, a movement condition with involuntary muscle contractions that cause repeated movements or unusual postures.

It is also called juvenile-onset dystonia. Movements range from barely noticeable to severely disabling and painful. Dystonia can affect one muscle, a group of muscles, or all muscles. GARD lists onset from infancy to the teen years. The cause is poorly understood in most cases.

Signs & symptoms

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

  • Dystonia throughout the body
  • Cleft of the mouth
  • Cataracts
  • Weakened immune system
  • Large tongue (macroglossia)
  • Swallowing difficulty (achalasia)

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 ACTB 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

    Dystonia Medical Research Foundation 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: Dystonia Medical Research 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 Dystonia Medical Research Foundation
  • 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 ACTB gene help our family?
Which treatments can ease dystonia?
Which specialists should be on our care team?

Quick facts

Symptoms usually startInfant and as a Teenager
InheritanceAutosomal Dominant
GenesACTB

Changes in the ACTB gene have been found in some families, and it is autosomal dominant. The underlying cause is poorly understood in most cases.

GeneticNeurological

Also known as: dds1; developmental malformations-hearing loss-dystonia syndrome; juvenile-onset dystonia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Developmental malformations-deafness-dystonia syndromeGARD ID 9818 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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