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Living with Houge-janssens syndrome 1

A rare genetic condition that affects development, speech, muscle tone, and behavior, often with a larger head.

Understanding Houge-janssens syndrome 1

Houge-Janssens syndrome 1 is a rare genetic and neurological condition that includes low muscle tone and developmental delay.

It is also called intellectual disability-macrocephaly-hypotonia-behavioral abnormalities syndrome. People may have global developmental delay, limited or absent speech, and intellectual disability. A larger than usual head (macrocephaly) and different facial features are common. Some have seizures or are on the autism spectrum. Some also have eye, heart, bone, or brain differences. It is seen in newborns and infants.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Global developmental delay
  • Limited or absent speech
  • Larger than usual head (macrocephaly)
  • Autistic behavior
  • Curved spine (scoliosis)

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 PPP2R5D 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 Simons Searchlight
  • 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
What therapies could help with speech and movement?
Should we watch for seizures, and what signs matter?
Would genetic testing for PPP2R5D help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesPPP2R5D

Changes in the PPP2R5D gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: autosomal dominant intellectual disability 35; intellectual developmental disorder, autosomal dominant 35; intellectual disability-macrocephaly-hypotonia-behavioral abnormalities syndrome; intellectual disability, autosomal dominant type 35

Patient organizations

Source: NIH GARD · Houge-janssens syndrome 1GARD ID 17802 · 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 Houge-janssens syndrome 1.

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