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Living with Huppke-Brendel syndrome

A rare genetic condition with cataracts and hearing loss from birth, plus severe developmental delay and low muscle tone.

Understanding Huppke-Brendel syndrome

Huppke-Brendel syndrome is a rare genetic condition with cataracts, hearing loss, and severe developmental delay.

Babies have clouding of the eye lens at birth (congenital cataracts) and hearing loss from inner ear or nerve damage. They have significant delays in motor skills and thinking, and low muscle tone throughout the body. Brain differences include underdeveloped brain areas and reduced nerve covering (myelin). Blood levels of copper and ceruloplasmin are low. Some have fast eye movements or seizures.

Signs & symptoms

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

  • Cataracts at birth
  • Hearing loss
  • Severe global developmental delay
  • Low muscle tone (hypotonia)
  • Absent speech
  • Seizures

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 SLC33A1 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 Child Neurology Foundation
  • 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 can be done about the cataracts and hearing loss?
What therapies could support development and movement?
Would genetic testing for SLC33A1 help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC33A1

Changes in the SLC33A1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: acetyl coa transporter deficiency; acetyl-coa transporter deficiency; congenital cataract-deafness-severe developmental delay syndrome; congenital cataract-hearing loss-severe developmental delay syndrome; congenital cataract, deafness, severe developmental delay syndrome; congenital cataract, hearing loss, severe developmental delay syndrome

Patient organizations

Source: NIH GARD · Huppke-Brendel syndromeGARD ID 17365 · 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 Huppke-Brendel syndrome.

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Explore actively recruiting Huppke-Brendel syndrome studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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