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Living with Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome

A very rare inherited condition with a large head, severe nearsightedness, a brain difference, and learning problems.

Understanding Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome

This rare genetic syndrome causes a large head, severe nearsightedness, a brain difference (Dandy-Walker malformation), and severe intellectual disability.

It is seen in newborns. People also have short, broad fingernails and distinct facial features such as thick eyebrows and low-set ears. Seizures and bone or genital differences have also been reported.

Signs & symptoms

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

  • Severe intellectual disability
  • Larger-than-usual head (macrocephaly)
  • Nearsightedness (myopia)
  • Dandy-Walker malformation of the brain
  • Fast, rhythmic eye movements (nystagmus)
  • Muscle stiffness (hypertonia)

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.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
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 Dandy-Walker Alliance, Inc.
  • 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
Which specialists should be on my child's care team?
How should the brain difference and any seizures be monitored?
Can genetic testing help confirm this diagnosis?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

Changes in genes cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent. GARD does not name the gene.

GeneticNeurological

Also known as: facial dysmorphism macrocephaly myopia dandy walker type

Patient organizations

Source: NIH GARD · Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndromeGARD ID 2222 · 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 Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome.

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