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Living with Pettigrew syndrome

A rare X-linked brain condition with severe intellectual disability, seizures, movement problems, and certain brain differences.

Understanding Pettigrew syndrome

Pettigrew syndrome is a rare X-linked brain condition that causes severe intellectual disability, seizures, and movement problems.

It is also called X-linked Dandy-Walker malformation with intellectual disability, basal ganglia disease and seizures. Babies have low muscle tone that later becomes stiffness and tight joints, along with writhing movements. The face is long with a prominent forehead. Brain scans show a Dandy-Walker malformation and iron deposits. Signs begin during pregnancy and in newborns.

Signs & symptoms

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

  • Small or missing cerebellum
  • Large skull (macrocephaly)
  • Fluid-filled spaces in the brain (ventriculomegaly)
  • Shrinking of the brain's outer layer
  • Eyes that cross (strabismus)
  • Undescended testes or inguinal hernia

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in AP1S2 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); Eye disease specialists (ophthalmologists); 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 Dandy-Walker Alliance, Inc.
  • 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 treatments might help?
Which therapies can help with muscle stiffness and movement?
What does X-linked inheritance mean for our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesAP1S2

Changes in the AP1S2 gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurological

Also known as: intellectual disability, x-linked syndromic 5; mrx59; mrxs21; pettigrew syndrome, x-linked recessive; pgs; syndromic x-linked intellectual disability 21

Patient organizations

Source: NIH GARD · Pettigrew syndromeGARD ID 8520 · 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 Pettigrew syndrome.

Explore the Pettigrew syndrome blog

Explore research for Pettigrew syndrome

Explore actively recruiting Pettigrew syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pettigrew 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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