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Living with Osteopathia striata with cranial sclerosis

An X-linked condition that makes bones unusually hard and thick, especially in the head and face, with features that vary widely.

Understanding Osteopathia striata with cranial sclerosis

Osteopathia striata with cranial sclerosis (OSCS) is a condition that makes bones unusually hard and thick.

Severity varies a lot, even in one family. Features are usually present at birth. They can include bone differences at the ends of long bones, hardening of head and face bones, a large head, and cleft palate. Some people also have developmental delay, hearing loss, heart defects, and breathing or feeding trouble. Diagnosis is based on symptoms and a clinical exam and may be confirmed by genetic testing.

Signs & symptoms

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

  • Cleft palate
  • Large head (macrocephaly)
  • Thick, dense skull and facial bones
  • Hearing loss from the middle ear (conductive)
  • Prominent forehead
  • Late eruption of teeth

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 AMER1 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

    Little People of America 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: Little People of America
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 Little People of America
  • 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 my hearing be tested, and how often?
Do the thickened skull bones put pressure on nerves?
Would AMER1 genetic testing help my family?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked
GenesAMER1

Changes in the AMER1 gene cause this condition. It is inherited in an X-linked dominant way.

GeneticNeurological

Also known as: hyperostosis generalisata with striations; oscs; osteopathia striata with cranial sclerosis, x-linked dominant; osteopathia striata-cranial sclerosis syndrome; robinow-unger syndrome

Patient organizations

Source: NIH GARD · Osteopathia striata with cranial sclerosisGARD ID 4148 · 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 Osteopathia striata with cranial sclerosis.

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