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Living with Pontocerebellar hypoplasia type 2

A rare condition affecting brain development, with a small head, delayed development, movement problems, seizures and trouble swallowing.

Understanding Pontocerebellar hypoplasia type 2

Pontocerebellar hypoplasia type 2 (PCH2) is a rare condition that affects the development of the brain.

Signs vary but can include a small head (microcephaly), development delay with little voluntary movement, and intellectual disability. Movement disorders such as chorea, dystonia and spasticity can occur. People may also have trouble swallowing, vision problems, seizures and trouble communicating. It starts at birth or in infancy.

Signs & symptoms

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

  • Delays in motor development
  • Small head that worsens over time (microcephaly)
  • Feeding and swallowing difficulties
  • Seizures, including infantile spasms
  • Movement disorders such as chorea and dystonia
  • Reduced vision

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, genetic specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Fetal Health Foundation and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Fetal Health Foundation, Epilepsy Foundation
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 Fetal Health 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
Which gene change does my child have, and should siblings be tested?
What feeding support is available for swallowing trouble?
Which therapies and medicines can help with seizures and movement?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in the TSEN54, TSEN2, TSEN34 or SEPSECS gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: congenital pontocerebellar hypoplasia type 2; pch2; pch2 - pontocerebellar hypoplasia type 2

Patient organizations

Source: NIH GARD · Pontocerebellar hypoplasia type 2GARD ID 10705 · 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 Pontocerebellar hypoplasia type 2.

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