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Living with Intellectual disability, autosomal dominant 40

A rare condition that affects brain development, with learning and speech delays, a small head, and low muscle tone.

Understanding Intellectual disability, autosomal dominant 40

Intellectual disability, autosomal dominant 40 (NEDHILD) is a rare condition that affects how the brain develops.

People may have trouble with learning and speaking and a smaller-than-average head. They may also have seizures, weak muscles, eye problems, and trouble with using the bathroom. Some also have autism and trouble sleeping.

Signs & symptoms

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

  • Small head (microcephaly)
  • No speech
  • Crossed eyes (strabismus)
  • Acid reflux
  • Low muscle tone in the face
  • Extra nipple

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 CHAMP1 Research Foundation 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
Can genetic testing for the CHAMP1 gene confirm the diagnosis?
Which therapies support speech and learning?
Should we see an eye specialist and a neurologist?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant

Changes in the CHAMP1 gene cause this condition. It follows an autosomal dominant pattern, meaning one changed copy of the gene can be enough.

Also known as: autosomal dominant intellectual disability 40; autosomal dominant non-syndromic intellectual disability caused by mutation in champ1; champ1 autosomal dominant non-syndromic intellectual disability; intellectual disability, autosomal dominant type 40; mrd40; nedhild

Patient organizations

Source: NIH GARD · Intellectual disability, autosomal dominant 40GARD ID 13539 · 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 Intellectual disability, autosomal dominant 40.

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