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Living with Hypotonia, infantile, with psychomotor retardation and characteristic facies

A rare genetic condition with severe low muscle tone from birth, severe developmental delay, and distinctive facial features.

Understanding Hypotonia, infantile, with psychomotor retardation and characteristic facies

Hypotonia, infantile, with psychomotor retardation and characteristic facies is a rare genetic nervous system condition.

It causes severe, lasting low muscle tone from birth or early infancy and severe developmental delay, with poor or absent speech. Children have difficulty or inability to roll, sit, or walk, profound intellectual disability, and slow weight gain. Other features include a small head, stiffness that grows, crossed eyes, constipation, and distinctive facial features.

Signs & symptoms

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

  • Severe low muscle tone (floppy infant)
  • Severe global developmental delay
  • Absent speech
  • Small head (microcephaly)
  • Feeding difficulties
  • Crossed eyes (strabismus)

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. 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); 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 Channeling Hope 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 therapies and feeding support could help?
How should vision and constipation be managed?
Would genetic testing help our family?

Quick facts

Symptoms usually startNewborn 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.

GeneticNeurological

Also known as: hypotonia-speech impairment-severe cognitive delay syndrome; hypotonia, speech impairment, severe cognitive delay syndrome; ihprf; ihprf (infantile hypotonia, psychomotor retardation, characteristic facies) syndrome; ihprf syndrome; infantile hypotonia-psychomotor retardation-characteristic facies syndrome

Patient organizations

Source: NIH GARD · Hypotonia, infantile, with psychomotor retardation and characteristic faciesGARD ID 17609 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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