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Living with Hydrocephaly-cerebellar agenesis syndrome

A rare condition present from birth with fluid buildup in the brain and a cerebellum (balance center) that did not form.

Understanding Hydrocephaly-cerebellar agenesis syndrome

Hydrocephaly-cerebellar agenesis syndrome is a rare condition in which the brain develops differently before birth.

It involves hydrocephalus (extra fluid in the brain) from birth, a missing cerebellum, and missing openings (the foramina of Luschka and Magendie) that let brain fluid drain. Babies have low muscle tone, weak or absent reflexes, and may have seizures or a bluish skin color shortly after birth. It has not been described in the medical literature since 1978.

Signs & symptoms

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

  • Missing cerebellum (cerebellar agenesis)
  • Low muscle tone (hypotonia)
  • Poor coordination (ataxia)
  • Cataract (clouding of the eye lens)
  • Intellectual disability

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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 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
What can imaging tell us about brain development?
Which specialists should be on our care team?
Would genetic counseling help our family?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked

Changes in genes (also called variants) cause this condition. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: hydrocephalus with cerebellar agenesis; x-linked hydrocephalus-cerebellar agenesis-intellectual disability syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hydrocephaly-cerebellar agenesis syndromeGARD ID 1200 · 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 Hydrocephaly-cerebellar agenesis syndrome.

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  • Eligibility is confirmed by the study team

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