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Living with Microcephaly-cerebellar hypoplasia-cardiac conduction defect syndrome

A rare genetic syndrome with a small head, a small cerebellum, slow growth, developmental delay, and a heart rhythm problem.

Understanding Microcephaly-cerebellar hypoplasia-cardiac conduction defect syndrome

Microcephaly-cerebellar hypoplasia-cardiac conduction defect syndrome is a rare genetic syndrome that affects growth, brain development, and heart rhythm.

GARD describes growth problems, delayed development, profound intellectual disability, and autistic behaviors. Some people develop a slowed heart rate with a partial heart block (a problem with the heart's electrical signals). Brain scans show a small cerebellum, the part of the brain that helps with balance. Low muscle tone and unusual movements can also occur. Signs begin in the newborn period or infancy.

Signs & symptoms

GARD doesn't list a set of most common symptoms for this condition. Its summary describes these features:

  • Smaller-than-average head size (microcephaly)
  • Slow growth
  • Delays in reaching developmental milestones
  • Profound intellectual disability
  • Slowed heart rate with heart block (bradycardia)
  • Low muscle tone (hypotonia)

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. Ask which tests can help

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

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
How often should my child's heart rhythm be checked?
Which specialists should be on my child's care team?
Is genetic testing available to confirm this diagnosis?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this syndrome, and it is inherited in an autosomal recessive way. This means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: microcephalus, cerebellar hypoplasia, cardiac conduction defect syndrome; microcephaly-cerebellar hypoplasia-congenital heart conduction defect syndrome; microcephaly, cerebellar hypoplasia, and cardiac conduction defect syndrome; microcephaly, cerebellar hypoplasia, congenital heart conduction defect syndrome; zaki gleeson syndrome; zaki-gleeson syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microcephaly-cerebellar hypoplasia-cardiac conduction defect syndromeGARD ID 17502 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Microcephaly-cerebellar hypoplasia-cardiac conduction defect syndrome.

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