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Living with Kleefstra syndrome

A genetic condition with developmental delay, little or no speech, low muscle tone, and distinctive facial features.

Understanding Kleefstra syndrome

Kleefstra syndrome is a genetic condition that involves many parts of the body, with developmental delay and intellectual disability.

People have limited or no speech and low muscle tone. Distinctive features include a small, wide head and facial differences such as eyebrows that meet in the middle and a large tongue. Some have structural brain differences, heart defects, urinary and genital differences, seizures, or frequent respiratory infections. Features of autism may appear in childhood, and apathy or unresponsiveness (catatonia) may appear in the teens. It is noticed in newborns.

Signs & symptoms

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

  • Developmental delay
  • Intellectual disability
  • Delayed or absent speech
  • Low muscle tone
  • Small head (microcephaly)
  • Autism-like behaviors

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. 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)
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 IDefine 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 find the gene change behind my child's condition?
Should my child's heart, kidneys, and brain be checked?
What therapies can help with communication and development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: 9q subtelomeric deletion syndrome; 9q- syndrome; 9q-syndrome; 9q34 deletion syndrome; 9q34.3 microdeletion syndrome; chromosome 9q deletion syndrome

Patient organizations

Source: NIH GARD · Kleefstra syndromeGARD ID 8672 · 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 Kleefstra syndrome.

Explore the Kleefstra syndrome blog

Explore research for Kleefstra syndrome

Explore actively recruiting Kleefstra syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Kleefstra syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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