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Living with Diencephalic-mesencephalic junction dysplasia syndrome 1

A rare genetic brain condition with a small head, very delayed development, and muscle stiffness or abnormal movements.

Understanding Diencephalic-mesencephalic junction dysplasia syndrome 1

Diencephalic-mesencephalic junction dysplasia syndrome 1 is a rare genetic brain development condition that involves the area around the midbrain.

It leads to a head and brain that stay smaller than expected over time. Children have very delayed or absent movement and mental skills, often with profound intellectual disability. They often have muscle stiffness or unusual movements (spasticity or dystonia). Some have seizures and vision problems. Brain scans show a specific midbrain difference.

Signs & symptoms

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

  • Global developmental delay
  • Small head size (microcephaly)
  • Muscle tensing (dystonia)
  • Low muscle tone in the trunk
  • Infantile spasms
  • Slow growth before birth

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 rare disease patient organizations for support
  • 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 find the gene change for my child?
Which therapies can help with movement and development?
How should seizures and vision be monitored?

Quick facts

InheritanceAutosomal Recessive

It is autosomal recessive, meaning a child is affected when they inherit a changed gene from both parents. GARD doesn't name a gene.

Also known as: dmjds1; microcephaly with spastic quadriplegia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Diencephalic-mesencephalic junction dysplasia syndrome 1GARD ID 8510 · 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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