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Living with Intellectual disability-epilepsy-extrapyramidal syndrome

A genetic condition (DEAF1-related) with intellectual disability, speech problems, delayed movement skills, and often seizures.

Understanding Intellectual disability-epilepsy-extrapyramidal syndrome

Intellectual disability-epilepsy-extrapyramidal syndrome (DEAF1-related disorder) is a neurologic disease with intellectual disability, speech problems, and delayed motor skills.

Other features can include seizures, brain differences, behavior problems, autism, stomach and bowel problems, and skeletal problems such as flat feet or hip dislocation. Some features resemble Smith-Magenis syndrome. It begins in infancy.

Signs & symptoms

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

  • Intellectual disability
  • Speech problems
  • Delayed movement skills
  • Small head (microcephaly)
  • Autism
  • Constipation

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 DEAF1 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 Simons Searchlight
  • 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 DEAF1 gene confirm the diagnosis?
How can we manage seizures and sleep?
Which therapies help with speech and movement?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesDEAF1

Changes (pathogenic variants) in the DEAF1 gene cause this condition. GARD lists autosomal recessive inheritance, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: dyskinesia, seizures, and intellectual developmental disorder; nedhels; neurodevelopmental disorder with hypotonia, impaired expressive language, and with or without seizures

Patient organizations

  • Simons SearchlightIntellectual disability-epilepsy-extrapyramidal syndrome · United States
Source: NIH GARD · Intellectual disability-epilepsy-extrapyramidal syndromeGARD ID 13474 · 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-epilepsy-extrapyramidal syndrome.

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