Skip to content
knowrare
HealthSignal
Your condition community

Living with Human HOXA1 syndromes

Very rare conditions present at birth that mainly affect the ears, eyes, and blood flow in and out of the heart.

Understanding Human HOXA1 syndromes

Human HOXA1 syndromes, including Athabaskan brainstem dysgenesis syndrome, are very rare conditions present at birth.

They mainly affect the development of the ears, eyes, and cardiovascular system. Main symptoms are being unable to move the eyes to the sides, deafness, and heart blood-flow birth differences. Athabaskan brainstem dysgenesis syndrome has been described in Native American populations (primarily Navajo and Apache) and in a few Saudi Arabian and Turkish families. Symptoms may vary by population.

Signs & symptoms

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

  • Hearing loss from inner ear changes
  • Delayed motor skills
  • Breathing control problems (central hypoventilation)
  • Small internal carotid artery
  • Cannot move eyes to the sides

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in HOXA1 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); Ear, nose, and throat specialists (otolaryngologists); 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
How do we check hearing and breathing during sleep?
Which heart tests do I or my child need?
Would genetic testing for HOXA1 help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesHOXA1

Changes in the HOXA1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent. Genetic testing can confirm the diagnosis.

GeneticNeurological

Also known as: abds; absd; athabascan brainstem dysgenesis syndrome; athabaskan brainstem dysgenesis syndrome; navajo brainstem syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Human HOXA1 syndromesGARD ID 8333 · 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 Human HOXA1 syndromes.

Explore the Human HOXA1 syndromes blog

Explore research for Human HOXA1 syndromes

Explore actively recruiting Human HOXA1 syndromes studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Human HOXA1 syndromes 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

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Human HOXA1 syndromes studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Human HOXA1 syndromes

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Human HOXA1 syndromes

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Human HOXA1 syndromes experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.