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Living with Intellectual disability, autosomal dominant 5

A genetic condition (SYNGAP1-related) with intellectual disability, delayed speech and movement, and seizures.

Understanding Intellectual disability, autosomal dominant 5

Intellectual disability, autosomal dominant 5 (SYNGAP1-related intellectual disability) is a neurological disorder with moderate to severe intellectual disability.

It is clear in early childhood. The earliest features are delayed speech and motor skills such as sitting, standing, and walking. Many have weak muscle tone. Some lose skills they had gained. Almost everyone develops epilepsy, and about half have autism spectrum disorder.

Signs & symptoms

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

  • Delayed speech and motor skills
  • Seizures (epilepsy)
  • Poor balance and coordination (ataxia)
  • Autistic behavior
  • Unsteady walk
  • Unusual eating behavior and pain sensation

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in SYNGAP1 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

    SynGAP Research Fund, SYNGAP1 Foundation and RASopathies Network may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: SynGAP Research Fund, SYNGAP1 Foundation, RASopathies Network
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 SynGAP Research Fund 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 SYNGAP1 gene confirm the diagnosis?
How can seizures be managed?
What therapies help with walking and speech?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesSYNGAP1

Changes in the SYNGAP1 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: autosomal dominant intellectual disability 5; autosomal dominant non-syndromic intellectual disability caused by mutation in syngap1; epilepsy due to syngap mutations; intellectual developmental disorder, autosomal dominant 5; intellectual disability, autosomal dominant type 5; mrd5

Patient organizations

Source: NIH GARD · Intellectual disability, autosomal dominant 5GARD ID 12558 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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