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Living with Microcephaly, seizures, and developmental delay

A genetic condition with a small head, seizures that start in infancy, and delays in movement and speech.

Understanding Microcephaly, seizures, and developmental delay

Microcephaly, seizures, and developmental delay (MCSZ) is a genetic condition with a small head and problems linked to brain development before birth.

People with MCSZ usually have repeated seizures (epilepsy) that start in infancy. Skills like sitting and walking come later than usual. Speech is also delayed, and some people never speak. Intellectual disability and behavior concerns, mostly hyperactivity, are common. Rarely, people have poor balance and coordination (ataxia).

Signs & symptoms

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

  • Smaller-than-average head size (microcephaly)
  • Seizures
  • Delays in reaching developmental milestones
  • More active than typical (hyperactivity)
  • Poor balance and coordination (ataxia)
  • Shrinking of the cerebellum (cerebellar 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 seizure and epilepsy 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 Epilepsy Foundation
  • 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
What seizure treatments and monitoring are right for my child?
Is genetic testing available to confirm the cause?
What therapies can help with movement, speech, and behavior?

Quick facts

InheritanceAutosomal Recessive

GARD lists this condition as autosomal recessive, which means a child inherits a changed copy of the gene from each parent. GARD does not name the gene in this record.

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Microcephaly, seizures, and developmental delayGARD ID 10933 · 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, seizures, and developmental delay.

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