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Living with Hypogonadotropic hypogonadism-severe microcephaly-sensorineural hearing loss-dysmorphism syndrome

A rare condition seen from birth with a very small head, hearing loss, distinctive facial features, and delayed puberty.

Understanding Hypogonadotropic hypogonadism-severe microcephaly-sensorineural hearing loss-dysmorphism syndrome

Hypogonadotropic hypogonadism-severe microcephaly-sensorineural hearing loss-dysmorphism syndrome is a rare condition with a pituitary hormone shortage.

Babies have a very small head (microcephaly) from birth, distinctive facial features, deafness in both ears, and low sex hormones. They also have early feeding problems, nearsightedness, moderate intellectual disability, and moderate short height. It may be noticed during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Very small head (microcephaly)
  • Hearing loss from birth
  • Delayed puberty
  • Global developmental delay
  • Feeding difficulties
  • Nearsightedness (myopia)

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, genetic specialists and hormone 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

    Resolve: The National Infertility Association and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Resolve: The National Infertility Association, Pituitary Network Association
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 Resolve: The National Infertility 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
What hearing support is available?
Which hormone treatments can support puberty?
Would genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrineUrinary and Reproductive

Also known as: hypogonadotropic hypogonadism-severe microcephaly-sensorineural deafness-dysmorphism syndrome; hypogonadotropic hypogonadism, severe microcephaly, sensorineural deafness, dysmorphism syndrome; hypogonadotropic hypogonadism, severe microcephaly, sensorineural hearing loss, dysmorphism syndrome

Patient organizations

Source: NIH GARD · Hypogonadotropic hypogonadism-severe microcephaly-sensorineural hearing loss-dysmorphism syndromeGARD ID 21174 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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