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Living with Intellectual disability, autosomal dominant 48

A rare genetic condition with developmental delay, intellectual disability, and variable seizures, head size, and facial features.

Understanding Intellectual disability, autosomal dominant 48

Intellectual disability, autosomal dominant 48 is a rare genetic syndrome with global developmental delay and moderate to severe intellectual disability.

Other features vary. They can include a large or small head, epilepsy, low muscle tone, behavior problems, repeated movements, and facial differences. Brain imaging may show differences in the cerebellum or corpus callosum. It begins in infancy or childhood.

Signs & symptoms

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

  • Global developmental delay
  • Small head (microcephaly)
  • No speech
  • Low muscle tone in infancy
  • Feeding difficulties
  • Behavior differences

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 and genetic specialists.

  3. Consider genetic testing

    Changes in RAC1 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); 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 rare disease patient organizations for support
  • 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 RAC1 gene confirm the diagnosis?
What do brain scans show for my child?
Which therapies help with feeding and development?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant
GenesRAC1

Changes in the RAC1 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: intellectual developmental disorder, autosomal dominant 48; microcephaly-corpus callosum and cerebellar vermis hypoplasia-facial dysmorphism-intellectual disability syndrom

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Intellectual disability, autosomal dominant 48GARD ID 17924 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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