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Living with Pilarowski-Bjornsson syndrome

A rare genetic condition that causes developmental delay, speech difficulty and intellectual disability, starting in infancy.

Understanding Pilarowski-Bjornsson syndrome

Pilarowski-Bjornsson syndrome is a rare genetic condition that causes developmental delay and intellectual disability.

It usually begins in infancy. People may have trouble planning the movements needed for speech (speech apraxia), autism-like behaviors and repeated movements, and some distinct facial features. Seizures or unusual brain wave tests (EEG) may also occur.

Signs & symptoms

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

  • Delays in reaching developmental milestones
  • Intellectual disability
  • Trouble with speech (speech apraxia)
  • Low muscle tone (hypotonia)
  • Prominent forehead and pointed chin
  • Allergies

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. Consider genetic testing

    Changes in CHD1 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); 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
Should we have genetic testing for CHD1, and what would it tell us?
What speech therapy would help with speech apraxia?
Does my child need an EEG to check for seizures?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesCHD1

Changes in the CHD1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough.

GeneticNeurological

Also known as: developmental delay and speech apraxia with or without seizures; intellectual disability-autism-speech apraxia-craniofacial dysmorphism syndrome; intellectual disability, autism, speech apraxia, craniofacial dysmorphism syndrome; pilarowski bjornsson syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Pilarowski-Bjornsson syndromeGARD ID 17970 · 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 Pilarowski-Bjornsson syndrome.

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Explore research for Pilarowski-Bjornsson syndrome

Explore actively recruiting Pilarowski-Bjornsson syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pilarowski-Bjornsson 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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