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Living with Microcephalic primordial dwarfism due to RTTN deficiency

A rare inherited brain development condition with a small head, intellectual disability, and short stature.

Understanding Microcephalic primordial dwarfism due to RTTN deficiency

Microcephalic primordial dwarfism due to RTTN deficiency is a rare inherited neurodevelopmental condition with a small head from birth.

People have a very small head (primary microcephaly), moderate to severe intellectual disability, and global developmental delay. Brain differences are common, including changes in how the brain folds. Short stature is often seen and may be severe. It starts in newborns and infants.

Signs & symptoms

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

  • Small head (microcephaly)
  • Severe intellectual disability
  • Developmental delay
  • Severe short stature
  • Poor weight gain
  • Extra brain folds (polymicrogyria)

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 RTTN 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 rare disease patient organizations for support
  • 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 family members have RTTN genetic testing?
Which brain scans or monitoring are advised?
Which therapies can support development and feeding?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRTTN

Changes in the RTTN gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: microcephalic cortical malformations-short stature due to rttn deficiency; microcephalic cortical malformations, short stature due to rotatin deficiency; microcephalic cortical malformations, short stature due to rttn (rotatin) deficiency; microcephalic cortical malformations, short stature due to rttn deficiency; microcephaly, short stature, and polymicrogyria; microcephaly, short stature, and polymicrogyria with or without seizures

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microcephalic primordial dwarfism due to RTTN deficiencyGARD ID 17841 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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