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Living with Infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome

A rare genetic condition with low muscle tone in infancy, eye movement problems, and developmental delay.

Understanding Infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome

Infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome is a rare genetic neurological disorder.

Features include low muscle tone in infancy, eye problems present from birth, global developmental delay, intellectual disability, behavior differences, and movement disorders. Mild facial differences and skeletal differences have been reported. EEG tests show marked changes without clear seizures.

Signs & symptoms

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

  • Low muscle tone in infancy (floppy infant)
  • Crossed eyes (strabismus)
  • No speech
  • Overactive movements (hyperkinesia)
  • Sleep problems
  • Acid reflux

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 SYT1 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 Baker-Gordon Syndrome 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
Can genetic testing for the SYT1 gene confirm the diagnosis?
Which eye specialist should follow my child?
What therapies can help with movement and speech?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesSYT1

Changes in the SYT1 gene cause this condition. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene can be enough.

GeneticNeurological

Also known as: baker gordon syndrome; baker-gordon syndrome; infantile hypotonia, oculomotor anomalies, hyperkinetic movements, developmental delay syndrome; neurodevelopmental disorder with involuntary movement and abnormal electroencephalogram; synaptotagmin 1-related neurodevelopmental disorder; syt1-related neurodevelopmental disorder

Patient organizations

Source: NIH GARD · Infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndromeGARD ID 17962 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome.

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