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Living with Neonatal pseudo-hydrocephalic progeroid syndrome

A type of progeria (premature-aging look) that starts before birth, with slow growth, an older-looking face, and little fat under the skin.

Understanding Neonatal pseudo-hydrocephalic progeroid syndrome

Neonatal pseudo-hydrocephalic progeroid syndrome, also called Wiedemann-Rautenstrauch syndrome, is a type of progeria.

People with progeria have features that make them look older than they are. Signs start before birth, with slow growth and weight gain. The face can look triangular, with a prominent forehead, pointed chin, small mouth, and small jaw. Hair is sparse and veins are prominent. Soft spots on the skull stay open longer. Some babies are born with teeth that fall out a few weeks later. Some people have intellectual or developmental disabilities.

Signs & symptoms

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

  • Older-looking face
  • Little fat under the skin (lipodystrophy)
  • Teeth present at birth (natal teeth)
  • Cataracts
  • Nearsightedness (myopia)
  • Thin, see-through skin

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, hormone specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in POLR3A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
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 Progeria Research Foundation, Inc. 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
Should we have genetic testing for the POLR3A gene?
How often should eyes and development be checked?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesPOLR3A

GARD lists changes in the POLR3A gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalEndocrineSkin

Also known as: neonatal progeroid syndrome; wiedemann rautenstrauch syndrome; wiedemann-rautenstrauch syndrome

Patient organizations

Source: NIH GARD · Neonatal pseudo-hydrocephalic progeroid syndromeGARD ID 330 · 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 Neonatal pseudo-hydrocephalic progeroid syndrome.

Explore the Neonatal pseudo-hydrocephalic progeroid syndrome blog

Explore research for Neonatal pseudo-hydrocephalic progeroid syndrome

Explore actively recruiting Neonatal pseudo-hydrocephalic progeroid syndrome studies with HealthSpark.

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

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