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Living with Microcephalic osteodysplastic dysplasia, Saul-Wilson type

A rare inherited condition with very short stature, distinct facial features, and bone differences.

Understanding Microcephalic osteodysplastic dysplasia, Saul-Wilson type

Saul-Wilson syndrome is a rare condition marked by short stature and other bone differences.

Growth problems begin before birth and continue after birth at a very slow rate. Features often include a prominent forehead, sparse hair, and a beaked nose, and these can give an early-aging look in infancy. Bone differences include short fingers and toes, clubfoot, and flattened spine bones. Bones can be fragile, and children often have hearing loss or cataracts.

Signs & symptoms

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

  • Short stature
  • Small head (microcephaly)
  • Prominent forehead and beaked nose
  • Cataracts
  • Clubfoot
  • Flattened spine 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 bone and joint specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in COG4 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

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
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 Little People of America
  • 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 COG4 genetic testing for our family?
How should hearing, eyes, and bone strength be monitored?
Which specialists should follow bones and the neck spine?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesCOG4

Changes in the COG4 gene cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough.

GeneticNeurological

Also known as: microcephalic osteodysplastic dysplasia; microcephalic osteodysplastic dysplasia saul wilson type; saul-wilson syndrome; swils

Patient organizations

Source: NIH GARD · Microcephalic osteodysplastic dysplasia, Saul-Wilson typeGARD ID 16736 · 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

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