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Living with Joubert syndrome with renal defect

A rare form of Joubert syndrome that combines the brain features with kidney disease, without retinal disease.

Understanding Joubert syndrome with renal defect

Joubert syndrome with renal defect is a rare form of Joubert syndrome that includes kidney disease but no retinal disease.

People have the neurological features of Joubert syndrome, such as low muscle tone, balance problems, unusual eye movements, and developmental delay. They also have kidney disease (nephropathy). It is noticed in newborns and infants.

Signs & symptoms

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

  • Kidney disease (nephropathy)
  • Low muscle tone
  • Balance and coordination problems (ataxia)
  • Breathing pauses or irregular breathing
  • Fast, rhythmic eye movements (nystagmus)
  • Developmental delay and intellectual disability

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, eye disease specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in NPHP1 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

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: National Ataxia Foundation
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 Joubert Syndrome & Related Disorders Foundation 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 NPHP1 gene confirm the diagnosis?
How often should kidney function be tested?
Which therapies can help with movement and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesNPHP1

Changes in the NPHP1 gene are listed. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalKidney

Also known as: jbts4; joubert syndrome 4; joubert syndrome type 4; js-r; nphp1-related joubert syndrome

Patient organizations

Source: NIH GARD · Joubert syndrome with renal defectGARD ID 10169 · 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 Joubert syndrome with renal defect.

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