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Living with Hypotonia, infantile, with psychomotor retardation and characteristic facies 2

A severe condition, also called UNC80 deficiency, with nervous system and developmental problems from birth that do not usually get worse over time.

Understanding Hypotonia, infantile, with psychomotor retardation and characteristic facies 2

Hypotonia, infantile, with psychomotor retardation and characteristic facies 2, or UNC80 deficiency, is a severe condition present from birth or early infancy.

The condition does not typically get worse over time. Development is slow and limited, but skills that are learned are usually kept. People have profound intellectual disability and weak muscle tone, sometimes with stiff arms and legs. Most never learn to walk. Speech is generally absent. Feeding difficulties, seizures, eye movement problems, and a high-pitched cry can occur. Growth is slow after birth.

Signs & symptoms

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

  • Profound developmental delay
  • Absent speech
  • Weak muscle tone (hypotonia)
  • Small head (microcephaly)
  • Crossed eyes
  • Feeding difficulties

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 communication supports could help?
How can feeding be made easier and safer?
Would genetic testing help our family?

Quick facts

InheritanceAutosomal Recessive

GARD lists autosomal recessive inheritance. It doesn't name a gene here, though the summary describes UNC80 deficiency.

Also known as: hypotonia, infantile, with psychomotor retardation and characteristic facies 2; ihprf2; hypotonia, infantile, with psychomotor retardation and characteristic facies caused by mutation in unc80; hypotonia, infantile, with psychomotor retardation and characteristic facies type 2; ihprf2; unc80 hypotonia, infantile, with psychomotor retardation and characteristic facies

Patient organizations

Source: NIH GARD · Hypotonia, infantile, with psychomotor retardation and characteristic facies 2GARD ID 18458 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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