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Living with Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome

A genetic condition (White-Sutton syndrome) with intellectual disability, autism features, a small head, and delayed speech.

Understanding Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome

Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome, also called White-Sutton syndrome, causes intellectual disability and specific facial features.

Most people have features of autism spectrum disorder, along with traits that are unusual in autism, such as an overly friendly manner. Development is delayed, with speech and language usually more delayed than motor skills. Intellectual disability ranges from borderline normal to severe.

Signs & symptoms

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

  • Intellectual disability
  • Delayed speech and language
  • Autistic behavior
  • Small head (microcephaly)
  • Low muscle tone in infancy
  • Digestive tract problems

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 POGZ 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 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 POGZ gene confirm the diagnosis?
What therapies help with language and development?
Should we check for stomach and bowel problems?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesPOGZ

Changes in the POGZ 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 37; intellectual disability, autosomal dominant type 37; mrd37; white sutton syndrome; white-sutton syndrome; whsus

Patient organizations

Source: NIH GARD · Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndromeGARD ID 13774 · 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-microcephaly-strabismus-behavioral abnormalities syndrome.

Explore the Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome blog

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