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Living with FG syndrome 1

A genetic condition seen almost only in males, with intellectual disability, low muscle tone, constipation and a distinctive facial look.

Understanding FG syndrome 1

FG syndrome 1 is a genetic condition that affects many parts of the body and occurs almost only in males.

Almost everyone has intellectual disability, from mild to severe. People tend to be friendly, curious, and hyperactive with a short attention span, and their daily living skills are often stronger than their language skills. Physical features include low muscle tone, broad thumbs and big toes, constipation or anal differences, and a larger head for body size. Early intervention and educational services help each child reach their potential.

Signs & symptoms

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

  • Intellectual disability
  • Delayed speech and language
  • Low muscle tone (hypotonia)
  • Broad thumbs and big toes
  • Constipation or anal differences
  • Differences in the corpus callosum of the brain

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MED12 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); 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 Simons Searchlight 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
Should we have genetic testing for the MED12 gene?
What early intervention and educational services are available?
Should heart, bowel or seizure checks be planned?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesMED12

Changes in the MED12 gene on the X chromosome cause it. It is inherited in an X-linked recessive pattern.

GeneticNeurologicalGastrointestinal

Also known as: fg syndrome caused by mutation in med12; fg syndrome type 1; keller syndrome; med12 fg syndrome; oks; opitz kaveggia syndrome

Patient organizations

Source: NIH GARD · FG syndrome 1GARD ID 2317 · 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 FG syndrome 1.

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Explore research for FG syndrome 1

Explore actively recruiting FG syndrome 1 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for FG syndrome 1 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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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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