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Living with Koolen-de Vries syndrome

A genetic condition with developmental delay, mild to moderate intellectual disability, a friendly personality, and distinctive facial features.

Understanding Koolen-de Vries syndrome

Koolen-de Vries syndrome is a genetic disorder with developmental delay and mild to moderate intellectual disability.

People typically have a cheerful, sociable, cooperative personality and weak muscle tone in childhood. About half have recurrent seizures. Facial features include a high, broad forehead, droopy eyelids, and a bulbous nose. Some have heart septal defects, kidney problems, or foot differences, and males often have undescended testes. It can be noticed during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Developmental delay
  • Delayed speech and language
  • Low muscle tone
  • Seizures
  • Heart differences, such as a hole between upper chambers
  • Droopy eyelids and a broad forehead

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in KANSL1 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 Koolen-de Vries Syndrome 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 KANSL1 gene confirm the diagnosis?
Should my child's heart and kidneys be checked?
What therapies can help with speech and development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesKANSL1

Changes in the KANSL1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: chromosome 17q21.31 deletion syndrome; kansl1-related intellectual disability syndrome; kdvs; koolen de vries syndrome; microdeletion 17q21.31 syndrome

Patient organizations

Source: NIH GARD · Koolen-de Vries syndromeGARD ID 10727 · 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 Koolen-de Vries syndrome.

Explore the Koolen-de Vries syndrome blog

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