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Living with Encephalopathy due to mitochondrial and peroxisomal fission defect

A rare mitochondrial condition with delayed development or lost skills, low muscle tone, seizures, and vision nerve damage.

Understanding Encephalopathy due to mitochondrial and peroxisomal fission defect

Encephalopathy due to mitochondrial and peroxisomal fission defect is a rare mitochondrial disease that affects the brain and nerves.

It varies widely. Features can include delays in development or loss of skills, low muscle tone, seizures, a small head, optic nerve damage, and nerve problems in the arms and legs. Age at onset and severity differ from person to person. Blood lactate levels may be raised, and brain scans may show changes in the basal ganglia, brain shrinkage, or white matter changes. It begins between birth and childhood.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition, but the summary describes these features:

  • Delays in development or loss of skills
  • Low muscle tone (hypotonia)
  • Seizures
  • Small head size (microcephaly)
  • Optic nerve damage (optic atrophy)
  • Nerve problems in the arms and legs

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. Ask which tests can help

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

  4. Connect with expert centers

    United Mitochondrial Disease Foundation, MitoAction and The Foundation for Peripheral Neuropathy 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: United Mitochondrial Disease Foundation, MitoAction, The Foundation for Peripheral Neuropathy
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 United Mitochondrial Disease 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 help find the gene involved?
What tests, such as lactate levels and brain imaging, are advised?
Which specialists and therapies should be on the care team?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceMitochondrial

GARD says changes in a person's genes cause this condition. It is listed as mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: encephalopathy due to defective mitochondrial and peroxisomal fission

Patient organizations

Source: NIH GARD · Encephalopathy due to mitochondrial and peroxisomal fission defectGARD ID 22192 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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