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Living with Infantile spasms-broad thumbs syndrome

A rare nervous system condition with spasms, broad thumbs, facial differences, and serious developmental delay.

Understanding Infantile spasms-broad thumbs syndrome

Infantile spasms-broad thumbs syndrome is a rare neurologic disorder with profound developmental delay, broad thumbs, and spasms.

Other features include a small head, a large soft spot, and facial differences. Cataracts, thickened heart muscle, and fluid around the testicle have also been reported. GARD notes there have been no further descriptions in the medical literature since 1990. It is present from birth.

Signs & symptoms

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

  • Spasms (flexion or extension)
  • Profound developmental delay
  • Broad thumbs
  • Small head (microcephaly)
  • Cataracts
  • Thickened heart muscle (hypertrophic cardiomyopathy)

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, genetic specialists and seizure and epilepsy 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
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 Epilepsy 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
Which tests, like EEG and MRI, are used for this condition?
What can help control the spasms?
Should a heart specialist and eye specialist follow my child?

Quick facts

Symptoms usually startNewborn

GARD doesn't describe a cause for this condition yet.

GeneticNeurological

Also known as: infantile spasm and broad thumb syndrome; infantile spasms, broad thumbs syndrome; tsao ellingson syndrome; tsao-ellingson syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Infantile spasms-broad thumbs syndromeGARD ID 3002 · 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 Infantile spasms-broad thumbs syndrome.

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