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Living with Intellectual disability, autosomal dominant 42

A genetic condition with global developmental delay, low muscle tone, seizures, and slow growth.

Understanding Intellectual disability, autosomal dominant 42

Intellectual disability, autosomal dominant 42 (MRD42) is a genetic neurological condition with global developmental delay.

People have trouble learning new things and building skills at the same pace as others their age. Other symptoms include low muscle tone, seizures, and poor growth. Some people also have crossed eyes, reduced vision, and autistic traits.

Signs & symptoms

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

  • Global developmental delay
  • Delayed expressive language
  • Low muscle tone (hypotonia)
  • Feeding difficulties
  • Poor weight gain (failure to thrive)
  • Slow growth

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. Consider genetic testing

    Changes in GNB1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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 Simons Searchlight 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 GNB1 gene confirm the diagnosis?
How can we help with feeding and growth?
Which eye checks and seizure care does my child need?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant
GenesGNB1

Mutations in the GNB1 gene cause this condition. It is inherited in an autosomal dominant pattern, so one changed copy is enough. Most cases are new in a family (de novo).

GeneticNeurological

Also known as: autosomal dominant intellectual disability 42; global developmental delay-neuro-ophthalmological abnormalities-seizures-intellectual disability syndrome; gnb1-related disorder; gnb1-related neurodevelopmental disorder; intellectual developmental disorder, autosomal dominant 42; intellectual disability, autosomal dominant type 42

Patient organizations

Source: NIH GARD · Intellectual disability, autosomal dominant 42GARD ID 18501 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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