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Living with Oliver syndrome

A very rare genetic condition with intellectual disability, extra fingers or toes, and seizures.

Understanding Oliver syndrome

Oliver syndrome is a very rare genetic condition with intellectual disability, extra fingers or toes, and epilepsy.

The extra digits are on the little-finger side of the hand or foot (postaxial polydactyly). GARD also lists absent or poor speech, webbed fingers, short toes, and a large lower jaw. GARD lists newborn and infant years as the usual onset.

Signs & symptoms

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

  • Profound intellectual disability
  • Seizures, including full-body (tonic-clonic) seizures
  • Extra little finger or toe
  • Absent or poor speech
  • Webbed fingers
  • Large lower jaw

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. Ask which tests can help

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
What seizure treatment is best for my child?
Which therapies can help with communication?
Would genetic testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: postaxial polydactyly and intellectual disability syndrome; postaxial polydactyly-intellectual disability syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Oliver syndromeGARD ID 4069 · 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 Oliver syndrome.

Explore the Oliver syndrome blog

Explore research for Oliver syndrome

Explore actively recruiting Oliver syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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