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Living with Holoprosencephaly-craniosynostosis syndrome

A rare condition affecting the brain and skull, with a brain that did not fully divide and skull bones that close early.

Understanding Holoprosencephaly-craniosynostosis syndrome

Holoprosencephaly-craniosynostosis syndrome is a rare condition that mainly affects the brain and skull.

Babies are usually born with semilobar holoprosencephaly, where the developing brain does not fully divide into two halves. They later develop craniosynostosis, when skull joints close too early. It is also linked to hand and other bone differences and distinctive facial features. It may be seen during pregnancy or in newborns.

Signs & symptoms

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

  • Holoprosencephaly
  • Early skull closing (craniosynostosis)
  • Small skull (microcephaly)
  • Low muscle tone (hypotonia)
  • Crossed eyes (strabismus)
  • Short fingers or toes (brachydactyly)

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 bone and joint specialists, brain and nervous system specialists, eye disease 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
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 FACES: The National Craniofacial Association 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
Which specialists should be on our care team?
What are the options for skull closing early?
Could genetic counseling help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

The genetic cause is currently unknown. Some reports suggest autosomal recessive inheritance, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: camero lituania cohen syndrome; camero-lituania-cohen syndrome; genoa syndrome; holoprosencephaly craniosynostosis syndrome; holoprosencephaly, semilobar, with craniosynostosis

Patient organizations

Source: NIH GARD · Holoprosencephaly-craniosynostosis syndromeGARD ID 2454 · 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 Holoprosencephaly-craniosynostosis syndrome.

Explore the Holoprosencephaly-craniosynostosis syndrome blog

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