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Living with MEHMO syndrome

A rare X-linked condition with intellectual disability, a small head, slow growth, and underdeveloped genitals.

Understanding MEHMO syndrome

MEHMO syndrome is a rare X-linked condition that causes intellectual disability and several physical differences.

It includes mild to profound intellectual disability, a small head (microcephaly), growth delay, and underdeveloped genitals. Weight gain, diabetes starting early in life, and seizures occur in some. It can start in pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Severe intellectual disability
  • Small head (microcephaly)
  • Growth delay
  • Seizures
  • Obesity
  • Low muscle tone

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, genetic specialists, hormone specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in EIF2S3 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

    Epilepsy Foundation, United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation, United Mitochondrial Disease Foundation, MitoAction
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 Epilepsy 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
Should we have EIF2S3 genetic testing for our family?
How should diabetes risk and growth be monitored?
Which therapies can support development and seizures?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked, Mitochondrial
GenesEIF2S3

Changes in the EIF2S3 gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurologicalEndocrineMitochondrial

Also known as: intellectual disability, epileptic seizures, hypogonadism and hypogenitalism, microcephaly, and obesity; intellectual disability, epileptic seizures, hypogonadism and hypogenitalism, microcephaly, obesity syndrome; intellectual disability, x-linked, syndromic 20; intellectual disability, x-linked, syndromic 25; intellectual disability, x-linked, syndromic, borck type; intellectual disability, x-linked, syndromic, borck type

Patient organizations

Source: NIH GARD · MEHMO syndromeGARD ID 9178 · 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 MEHMO syndrome.

Explore the MEHMO syndrome blog

Explore research for MEHMO syndrome

Explore actively recruiting MEHMO syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for MEHMO 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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