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Living with Miller Dieker syndrome

A genetic condition in which the brain surface is unusually smooth, causing severe developmental delay, seizures, and distinctive facial features.

Understanding Miller Dieker syndrome

Miller-Dieker syndrome is a genetic condition that causes an unusually smooth brain surface, called lissencephaly.

The brain surface normally has folds and grooves, and in lissencephaly it is smooth. In Miller-Dieker syndrome this is linked with severe intellectual disability, developmental delay, weak muscle tone (hypotonia), and seizures that usually start in the first months of life. Distinctive facial features are common. Some people grow more slowly, and less often have heart problems, kidney problems, or an omphalocele (an opening in the belly wall near the navel).

Signs & symptoms

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

  • Smooth brain surface (lissencephaly)
  • Seizures
  • Slow growth
  • Prominent forehead
  • Short nose with upturned tip
  • Heart differences

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, genetic specialists and 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
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); 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 Chromosome Disorder Outreach 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 confirm the diagnosis?
What options exist for treating seizures that begin in infancy?
What help is available for feeding and development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. GARD lists it as autosomal dominant, but does not name a specific gene in this record.

GeneticNeurological

Also known as: lissencephaly due to 17p13.3 deletion; lissencephaly syndrome, miller-dieker; mdls; miller-dieker lissencephaly syndrome; miller-dieker syndrome; monosomy 17p13.3

Patient organizations

Source: NIH GARD · Miller Dieker syndromeGARD ID 3669 · 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 Miller Dieker syndrome.

Explore the Miller Dieker syndrome blog

Explore research for Miller Dieker syndrome

Explore actively recruiting Miller Dieker syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Miller Dieker syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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