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Living with Distal chromosome 18q deletion syndrome

A chromosome condition with wide-ranging effects, including short height, low muscle tone, hearing loss, and delayed brain myelination.

Understanding Distal chromosome 18q deletion syndrome

Distal chromosome 18q deletion syndrome is a condition in which a piece of the long arm of chromosome 18 is missing.

Signs and symptoms vary widely. Common features include short height, weak muscle tone (hypotonia), hearing loss from narrow or absent ear canals, and foot differences such as clubfoot. Some people also have eye movement problems, a cleft palate, an underactive thyroid, heart or kidney differences, or mild facial differences. It can also affect the nervous system, with slower than usual development of myelin, the coating that insulates nerve cells.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes these as common features:

  • Short height, sometimes from low growth hormone
  • Weak muscle tone (hypotonia)
  • Hearing loss from narrow or absent ear canals
  • Foot differences such as clubfoot
  • Eye movement and vision problems
  • Cleft palate (opening in the roof of the mouth)

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
Should my child have hearing, vision, and thyroid checks?
Would growth hormone testing be helpful?
Which specialists should be part of my child's care team?

Quick facts

The condition happens when a piece of the long (q) arm of chromosome 18 is missing. The missing piece is near one end of the chromosome, which is what "distal" means.

Also known as: distal 18q deletion; distal 18q deletion syndrome; distal 18q-; distal monosomy 18q

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Distal chromosome 18q deletion syndromeGARD ID 26364 · 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 Distal chromosome 18q deletion syndrome.

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