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Living with Microcephaly-capillary malformation syndrome

An inherited condition with a small head, seizures, severe developmental delay, and pink or red spots on the skin.

Understanding Microcephaly-capillary malformation syndrome

Microcephaly-capillary malformation syndrome is an inherited condition with a very small head and pink or red spots on the skin caused by enlarged tiny blood vessels.

Microcephaly begins before birth and comes with an unusually small brain and other brain differences. People develop seizures that can happen many times a day and are hard to treat. They have profound developmental delay and intellectual disability. Skin spots (capillary malformations) are present at birth. Other features include feeding difficulties, slow growth, and small or missing fingernails and toenails.

Signs & symptoms

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

  • Pink or red spots on the skin (capillary malformations)
  • Small head that grows slowly (progressive microcephaly)
  • Infantile spasms (a type of seizure)
  • Delays in reaching developmental milestones
  • Sudden muscle jerks (myoclonus)
  • Damage to the optic nerve (optic atrophy)

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 STAMBP 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

    Vascular Birthmarks Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Vascular Birthmarks 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 Vascular Birthmarks 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
Can genetic testing for the STAMBP gene confirm this diagnosis?
What options are there for managing seizures that are hard to treat?
What help is available for feeding difficulties and daily care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSTAMBP

This condition is caused by changes in the STAMBP gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: mic-cap syndrome; mic-cm syndrome; miccap; microcephaly-cutaneous capillary malformation syndrome

Patient organizations

Source: NIH GARD · Microcephaly-capillary malformation syndromeGARD ID 17354 · 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 Microcephaly-capillary malformation syndrome.

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