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Living with Microbrachycephaly-ptosis-cleft lip syndrome

A very rare inherited syndrome with learning difficulties, a small, short head, drooping eyelids, and cleft lip.

Understanding Microbrachycephaly-ptosis-cleft lip syndrome

Microbrachycephaly-ptosis-cleft lip syndrome is a very rare inherited syndrome that combines intellectual disability, a small, short head, drooping eyelids, and a cleft lip.

Other features are closely spaced eyes, a long, thin face, and differences in the lower spine, sacrum, and pelvis. It was described in two sisters from Brazil. It starts in newborns and infants.

Signs & symptoms

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

  • Intellectual disability
  • Small head (microcephaly)
  • Drooping upper eyelids (ptosis)
  • Closely spaced eyes
  • Crossed eyes (strabismus)
  • Differences in hand and finger bones

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, ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); 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
Is genetic testing available for this syndrome?
Which specialists should care for the lip, eyes, and spine?
What therapies can support learning and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: richieri costa-guion almeida-ramos syndrome; richieri-costa/guion-almeida syndrome

Patient organizations

Source: NIH GARD · Microbrachycephaly-ptosis-cleft lip syndromeGARD ID 3596 · 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 Microbrachycephaly-ptosis-cleft lip syndrome.

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