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Living with Multiple congenital anomalies-hypotonia-seizures syndrome 3

A rare condition affecting how the body makes certain proteins, with low muscle tone, seizures, vision problems, and severe developmental delay.

Understanding Multiple congenital anomalies-hypotonia-seizures syndrome 3

Multiple congenital anomalies-hypotonia-seizures syndrome 3 is a rare congenital disorder of glycosylation caused by changes in the PIGT gene.

Features include low muscle tone in newborns, global developmental delay, loss of skills, and severe to profound intellectual disability. Seizures start in infancy and are first linked with fevers. People may have impaired vision, bone differences, and certain facial features. Heart and kidney or urinary tract differences can also occur. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Low muscle tone in infancy
  • Seizures of several types
  • Severe intellectual disability
  • Vision problems, including eyes that turn and cerebral visual impairment
  • Hearing impairment
  • Bone differences, such as funnel chest and delayed bone age

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PIGT 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

    CDG CARE and World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE, World Craniofacial 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 CDG CARE 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 PIGT gene confirm this diagnosis?
What seizure treatments are available?
Which specialists should follow vision, bones, heart, and kidneys?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesPIGT

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

GeneticNeurologicalInherited Metabolic

Also known as: congenital disorder of glycosylation due to pigt deficiency; glycosylphosphatidylinositol biosynthesis defect 7; intellectual disability-seizures-hypophosphatasia-ophthalmic-skeletal anomalies syndrome; lfss; light fixation seizure syndrome; mcahs type 3

Patient organizations

Source: NIH GARD · Multiple congenital anomalies-hypotonia-seizures syndrome 3GARD ID 17584 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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