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Living with Palmer pagon syndrome

A very rare condition from birth with fluid buildup in the brain, hernias, and some heart and urinary differences.

Understanding Palmer pagon syndrome

Palmer pagon syndrome is a very rare condition with several differences present from birth.

It involves extra fluid in the brain's chambers (hydrocephalus), a low-set belly button, hernias in the groin, and mild facial differences. Some babies also have heart differences such as tetralogy of Fallot and urinary tract differences. GARD notes there have been no further descriptions in the medical literature since 1993.

Signs & symptoms

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

  • Extra fluid in the brain (hydrocephalus)
  • Heart differences, such as tetralogy of Fallot
  • A heart channel that stays open (patent ductus arteriosus)
  • Hernia in the belly wall
  • Urinary tract differences
  • Folds at the corners of the eyes (epicanthus)

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 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
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
How is the fluid in the brain treated and monitored?
Which heart tests do we need?
Which specialists have experience with conditions this rare?

Quick facts

Symptoms usually startNewborn

Changes in the genes (also called variants) cause this condition. GARD doesn't list a specific gene.

GeneticNeurological

Also known as: congenital hydrocephalus, low insertion of umbilicus syndrome; hydrocephaly-low insertion umbilicus syndrome; palmer-pagon syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Palmer pagon syndromeGARD ID 4199 · 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 Palmer pagon syndrome.

Explore the Palmer pagon syndrome blog

Explore research for Palmer pagon syndrome

Explore actively recruiting Palmer pagon syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Palmer pagon 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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