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Living with Intellectual disability-seizures-macrocephaly-obesity syndrome

A rare syndrome from a chromosome rearrangement, with developmental delay, seizures, a large head, and obesity.

Understanding Intellectual disability-seizures-macrocephaly-obesity syndrome

Intellectual disability-seizures-macrocephaly-obesity syndrome is a rare form of syndromic obesity caused by a complex rearrangement of chromosomes.

Features include developmental delay, intellectual disability, obesity starting in childhood, seizures, poor coordination, a wide-based walk, and a large head (macrocephaly). Some people have mild facial differences, eczema, eye differences, and a social personality. It begins in the newborn period or infancy.

Signs & symptoms

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

  • Developmental delay and intellectual disability
  • Seizures
  • Obesity starting in childhood
  • Large head (macrocephaly)
  • Large tongue (macroglossia)
  • Constipation and astigmatism

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 hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 Chromosome Disorder Outreach
  • 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
Which chromosome tests were done?
How can we manage seizures and weight?
Which eye checks does my child need?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says it is due to a complex rearrangement of chromosomes.

GeneticNeurologicalEndocrine

Also known as: der(8)t(8; 12); intellectual disability, seizures, macrocephaly, obesity syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Intellectual disability-seizures-macrocephaly-obesity syndromeGARD ID 21583 · 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-seizures-macrocephaly-obesity syndrome.

Explore the Intellectual disability-seizures-macrocephaly-obesity syndrome blog

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HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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