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Living with DPAGT1-congenital disorder of glycosylation

An inherited condition with low muscle tone, hard-to-control seizures, delayed development, and a small head.

Understanding DPAGT1-congenital disorder of glycosylation

DPAGT1-congenital disorder of glycosylation is an inherited condition that affects the nervous system and muscles from birth.

People with this condition have low muscle tone, seizures that are hard to control, delayed development, and a small head. Babies may move very little before birth. Other features can include breathing pauses or trouble breathing, cataracts, tight joints, feeding difficulties, and distinct facial features. Signs begin between birth and childhood.

Signs & symptoms

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

  • Seizures
  • Low muscle tone in infants (floppy infant)
  • Delays in development
  • Intellectual disability
  • Cataracts present at birth
  • Poor weight gain (failure to thrive)

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in DPAGT1 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

    CDG CARE and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: CDG CARE, 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 CDG CARE 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
Would genetic testing for the DPAGT1 gene help our family?
How can seizures be managed?
Which eye and feeding specialists should see my child?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesDPAGT1

GARD says changes in the DPAGT1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type ij; cdg ij; cdg syndrome type ij; cdg-ij; cdg1j; cdgij

Patient organizations

  • CDG CAREDPAGT1-congenital disorder of glycosylation · United States
  • CDG & Allies - PPAINDPAGT1-congenital disorder of glycosylation · Epilepsy Foundation
Source: NIH GARD · DPAGT1-congenital disorder of glycosylationGARD ID 9837 · 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 DPAGT1-congenital disorder of glycosylation.

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