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Living with Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome

A rare genetic nervous system condition with developmental delay, vision problems, low muscle tone, and slow loss of cerebellum tissue.

Understanding Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome

This syndrome is a rare genetic neurological disorder with developmental delay, vision problems, and low trunk muscle tone.

Developmental delay and speech problems range from mild to severe. There is low muscle tone in the trunk (truncal hypotonia) and vision problems, including cortical visual impairment. The brain slowly shrinks, mainly the cerebellum. Other findings may include stiff limbs, scoliosis, a small head, and facial differences. It usually starts in infancy or childhood.

Signs & symptoms

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

  • Delays in overall development and speech
  • Low trunk muscle tone (hypotonia)
  • Vision problems
  • Shrinking of the cerebellum and brain over time
  • Stiff muscles in the arms or legs
  • Scoliosis (curved spine)

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in EMC1 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); Eye disease specialists (ophthalmologists); 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 rare disease patient organizations for support
  • 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
Can genetic testing confirm a change in the EMC1 gene?
Which therapies can help with movement, speech, and vision?
How should the spine and eyes be monitored?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant, Autosomal Recessive
GenesEMC1

Changes in the EMC1 gene cause this condition. GARD lists both autosomal dominant and autosomal recessive inheritance.

GeneticNeurological

Also known as: global developmental delay, visual anomalies, progressive cerebellar atrophy, truncal hypotonia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndromeGARD ID 17871 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome.

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