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Living with Lethal occipital encephalocele-skeletal dysplasia syndrome

A rare inherited bone condition with skull bone differences at the back of the head and changes in the hands, feet, and limbs.

Understanding Lethal occipital encephalocele-skeletal dysplasia syndrome

Lethal occipital encephalocele-skeletal dysplasia syndrome is a rare inherited bone development condition.

Bones at the back of the head are underdeveloped, which can cause an encephalocele (a sac of brain tissue pushed through the skull). Other features include skull bone fusing early, missing fingers or toes, shortened limbs, long thin fingers, and fused bones in the arm. It may be noticed in newborns and infants.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes these features:

  • Encephalocele at the back of the head
  • Underdeveloped skull bones
  • Early fusing of skull bones (craniosynostosis)
  • Fewer than usual fingers or toes (oligodactyly)
  • Shortened limbs
  • Long, thin fingers (arachnodactyly)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in CYP26B1 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); 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 World Craniofacial 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
Would CYP26B1 gene testing help our family?
Which specialists should evaluate the skull and brain?
What genetic counseling is available for future pregnancies?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCYP26B1

It is caused by changes in the CYP26B1 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: craniosynostosis with radiohumeral fusions and other skeletal and craniofacial anomalies

Patient organizations

Source: NIH GARD · Lethal occipital encephalocele-skeletal dysplasia syndromeGARD ID 17348 · 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 Lethal occipital encephalocele-skeletal dysplasia syndrome.

Explore the Lethal occipital encephalocele-skeletal dysplasia syndrome blog

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