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Living with Intellectual disability-hypotonia-spasticity-sleep disorder syndrome

A rare genetic syndrome (ANK3-related) with intellectual disability, behavior and sleep problems, and delayed speech.

Understanding Intellectual disability-hypotonia-spasticity-sleep disorder syndrome

Intellectual disability-hypotonia-spasticity-sleep disorder syndrome is a rare genetic syndrome linked with disruption of the ANK3 gene.

It brings varying degrees of intellectual disability, behavior problems (including ADHD, autism, and aggression), altered sleep patterns, and delayed speech. Some people also have low muscle tone, muscle stiffness, epilepsy, or constant hunger. It begins in childhood.

Signs & symptoms

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

  • Moderate intellectual disability
  • Delayed speech and language
  • Sleep problems
  • Autistic behavior
  • Aggressive behavior
  • Muscle stiffness (spasticity)

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 ANK3 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 ANK3 gene confirm the diagnosis?
What can help with sleep and behavior?
Which therapies help with speech?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesANK3

Changes in the ANK3 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: ank3-related intellectual disability-sleep disturbance syndrome; intellectual developmental disorder, autosomal recessive 37; intellectual disability, autosomal recessive type 37; mental retardation, autosomal recessive, 37

Patient organizations

  • Simons SearchlightIntellectual disability-hypotonia-spasticity-sleep disorder syndrome · United States
Source: NIH GARD · Intellectual disability-hypotonia-spasticity-sleep disorder syndromeGARD ID 17541 · 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-hypotonia-spasticity-sleep disorder syndrome.

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