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Living with Macrocephaly-autism syndrome

A rare genetic condition with a large head, distinct facial features, developmental delay, and autism.

Understanding Macrocephaly-autism syndrome

Macrocephaly-autism syndrome is a rare genetic neurological condition that combines a larger-than-usual head, facial differences, and delayed development.

Delayed development leads to intellectual disability and autism spectrum disorder. Facial features may include a prominent forehead, wide-set eyes, a flat midface, a low nasal bridge, and a long space between nose and lip. It begins in newborns and infants.

Signs & symptoms

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

  • Larger than usual head (macrocephaly)
  • Intellectual disability
  • Autistic behavior
  • Delayed speech and language
  • Delayed motor skills
  • Distinct facial features

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. Consider genetic testing

    Changes in PTEN are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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 Organization for Autism Research
  • 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 PTEN gene testing help our family?
Are other health screenings needed for people with PTEN changes?
Which therapies can help with speech, motor skills, and learning?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesPTEN

It is caused by changes in the PTEN gene. A person can have it after inheriting one changed copy of the gene (autosomal dominant).

GeneticNeurological

Also known as: macrocephaly-intellectual disability-autism syndrome; macrocephaly/autism syndrome

Patient organizations

Source: NIH GARD · Macrocephaly-autism syndromeGARD ID 17112 · 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 Macrocephaly-autism syndrome.

Explore the Macrocephaly-autism syndrome blog

Explore research for Macrocephaly-autism syndrome

Explore actively recruiting Macrocephaly-autism syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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