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Living with Leigh syndrome

A severe inherited condition of the brain and nerves that affects movement, feeding, growth, and development, usually starting in infancy.

Understanding Leigh syndrome

Leigh syndrome is a severe neurological condition that usually becomes apparent in the first year of life.

It involves a gradual loss of mental and movement abilities. Early signs in infancy are often vomiting, diarrhea, and trouble swallowing, which can affect growth. Muscle and movement problems are common. A small number of people do not have symptoms until adulthood or have symptoms that worsen more slowly.

Signs & symptoms

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

  • Low muscle tone (floppy infant)
  • Feeding difficulties and slow weight gain
  • Delayed development or loss of skills
  • Involuntary movements
  • Eye muscle weakness or paralysis (ophthalmoplegia)
  • Damage to the optic nerve (optic atrophy)

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 seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in IARS2 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

    Cure Mito Foundation, Muscular Dystrophy Association and Epilepsy 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); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Cure Mito Foundation, Muscular Dystrophy Association, Epilepsy 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 Cure Mito 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
Which gene change explains my child's Leigh syndrome?
Which specialists should help with feeding and breathing?
What heart monitoring does my child need?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive, X-Linked, Mitochondrial
GenesIARS2

It is caused by genetic changes, and the IARS2 gene is listed. It can be inherited in an autosomal recessive, X-linked, or mitochondrial way.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: infantile necrotizing encephalomyelopathy; infantile subacute necrotizing encephalopathy; juvenile subacute necrotizing encephalomyelopathy; leigh disease; leigh syndrome spectrum; leigh syndrome, nuclear

Patient organizations

Source: NIH GARD · Leigh syndromeGARD ID 6877 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Leigh syndrome

Explore actively recruiting Leigh syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Leigh 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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