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Living with EAST syndrome

An inherited condition with seizures, hearing loss, balance problems, learning disability, and kidney-related salt and mineral imbalances.

Understanding EAST syndrome

EAST syndrome, also called SeSAME syndrome, is an inherited condition with seizures, hearing loss, poor coordination, intellectual disability, and an electrolyte imbalance.

The letters stand for Epilepsy, Ataxia, Sensorineural deafness, and Tubulopathy (kidney tube problems). Seizures tend to start in early childhood and are usually the grand mal type, which generally respond well to medicine. Balance problems and hearing loss start later. GARD says the ataxia seems to be the most disabling feature. Blood tests show low potassium and magnesium.

Signs & symptoms

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

  • Seizures
  • Poor balance and coordination (ataxia)
  • Hearing loss (sensorineural)
  • Intellectual disability
  • Extreme thirst and salt craving
  • Bedwetting (enuresis)

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, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in KCNJ10 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

    National Ataxia Foundation and Epilepsy 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); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: National Ataxia Foundation, 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 National Ataxia Foundation 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 KCNJ10 gene help our family?
How often should potassium and magnesium be checked?
What therapies can help with balance and hearing?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesKCNJ10

GARD says changes in the KCNJ10 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalKidney

Also known as: east (epilepsy, ataxia, sensorineural deafness, and tubulopathy) syndrome; epilepsy-ataxia-sensorineural deafness-tubulopathy syndrome; epilepsy-ataxia-sensorineural hearing loss-tubulopathy syndrome; epilepsy, ataxia, sensorineural deafness and tubulopathy; seizure, sensorineural deafness, ataxia, intellectual disability, electrolyte imbalance syndrome; seizures-sensorineural deafness-ataxia-intellectual disability-electrolyte imbalance syndrome

Patient organizations

Source: NIH GARD · EAST syndromeGARD ID 10514 · 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 EAST syndrome.

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Explore research for EAST syndrome

Explore actively recruiting EAST syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for EAST syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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