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Living with Glycosylphosphatidylinositol biosynthesis defect 15

A rare genetic condition with developmental delay, early seizures, cerebellum changes, and facial differences, starting in infancy.

Understanding Glycosylphosphatidylinositol biosynthesis defect 15

Glycosylphosphatidylinositol biosynthesis defect 15 is a rare genetic syndrome with intellectual disability.

Features include global developmental delay, early-onset seizures, loss of cerebellum tissue (cerebellar atrophy), thin bones (osteopenia), quick eye movements (nystagmus), and distinct facial features. Slurred speech, poor coordination, an unsteady walk, and stiffness have also been linked to it. It usually starts in infancy.

Signs & symptoms

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

  • Delayed speech and language
  • Slurred speech (dysarthria)
  • Unsteady walk (gait ataxia)
  • Low muscle tone (hypotonia)
  • Generalized tonic-clonic seizures
  • Shrinking of the cerebellum

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. Consider genetic testing

    Changes in GPAA1 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); 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 GPAA1 gene?
Which seizure treatments might help?
What therapies can support walking, speech, and learning?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesGPAA1

Changes in the GPAA1 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: developmental delay, epilepsy, cerebellar atrophy, and osteopenia; glycosylphosphatidylinositol anchor attachment 1-related biosynthesis defect; gpaa1-related biosynthesis defect; neurodevelopmental delay-seizures-ophthalmic anomalies-osteopenia-cerebellar atrophy syndrome; neurodevelopmental delay, seizures, ophthalmic anomalies, osteopenia, cerebellar atrophy syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Glycosylphosphatidylinositol biosynthesis defect 15GARD ID 17969 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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