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Living with Early-onset parkinsonism-intellectual disability syndrome

An X-linked condition in males with intellectual disability from infancy and early-onset parkinsonism before age 45.

Understanding Early-onset parkinsonism-intellectual disability syndrome

Early-onset parkinsonism-intellectual disability syndrome is a rare X-linked condition in males that causes intellectual disability and early parkinsonism.

Infants have delays in development, thinking difficulties, and a larger head size. The intellectual disability does not get worse over time. Parkinsonism, with stiffness and slowed movement, starts early, before age 45. It occurs in male patients.

Signs & symptoms

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

  • Intellectual disability
  • Stiffness (rigidity)
  • Changes in movement
  • Larger than average head (macrocephaly)
  • Seizures
  • Crossed eyes (strabismus)

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 RAB39B 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

    American Parkinson Disease Association, Parkinson's Foundation and Parkinson & Movement Disorder Alliance may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: American Parkinson Disease Association, Parkinson's Foundation, Parkinson & Movement Disorder Alliance
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 American Parkinson Disease Association 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 RAB39B gene help our family, including female relatives?
What treatments might help with parkinsonism?
What supports can help with learning and daily life?

Quick facts

Symptoms usually startInfant
InheritanceX-Linked
GenesRAB39B

GARD says changes in the RAB39B gene cause this condition. It is X-linked, and it occurs in male patients.

GeneticNeurological

Also known as: early onset parkinsonism and intellectual disability syndrome; laxova brown hogan syndrome; laxova opitz syndrome; laxova-opitz syndrome; waisman syndrome; waisman syndrome, x-linked recessive

Patient organizations

Source: NIH GARD · Early-onset parkinsonism-intellectual disability syndromeGARD ID 3203 · 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 Early-onset parkinsonism-intellectual disability syndrome.

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