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Living with Pallister-Hall syndrome

A genetic condition affecting many body parts, often with extra fingers or toes and a growth in the brain.

Understanding Pallister-Hall syndrome

Pallister-Hall syndrome is a genetic condition that affects how many parts of the body develop.

Most people have extra fingers or toes (polydactyly), and some have skin joining fingers or toes. A typical feature is a growth in the brain called a hypothalamic hamartoma. Many of these cause no problems, but some lead to seizures or hormone changes. Signs and symptoms range from mild to severe.

Signs & symptoms

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

  • Growth in the brain (hypothalamic hamartoma)
  • Extra fingers or toes (polydactyly)
  • Skin joining fingers or toes (syndactyly)
  • Hormone problems, such as adrenal insufficiency
  • Closed anal opening (imperforate anus)
  • Split uvula or drooping eyelids

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GLI3 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

    Raymond A. Wood Foundation and Pituitary Network Association 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); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: Raymond A. Wood Foundation, Pituitary Network Association
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 Raymond A. Wood Foundation 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
Does the brain growth need to be watched for seizures or hormone problems?
Which specialists, such as hormone and kidney doctors, should be on our care team?
Should family members have genetic testing for the GLI3 gene?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesGLI3

Changes in the GLI3 gene cause this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticNeurologicalKidneyEndocrineGastrointestinal

Also known as: ano-cerebro-digital syndrome; hypothalamic hamartoblastoma syndrome; hypothalamic hamartoblastoma, hypopituitarism, imperforate anus, and postaxial polydactyly; pallister hall syndrome; phs

Patient organizations

Source: NIH GARD · Pallister-Hall syndromeGARD ID 7305 · 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 Pallister-Hall syndrome.

Explore the Pallister-Hall syndrome blog

Explore research for Pallister-Hall syndrome

Explore actively recruiting Pallister-Hall syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pallister-Hall 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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