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Living with Pontocerebellar hypoplasia type 3

A rare genetic brain condition with low muscle tone and swallowing trouble at birth, then seizures, optic nerve damage and short stature.

Understanding Pontocerebellar hypoplasia type 3

Pontocerebellar hypoplasia type 3 is a rare genetic condition in which the cerebellum, pons and cerebral cortex are underdeveloped.

Babies have low muscle tone and trouble swallowing. Seizures, optic nerve damage and short stature follow from infancy. GARD says the movement disorders seen in other forms are absent. It starts around birth.

Signs & symptoms

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

  • Delay in all areas of development
  • Low muscle tone in the trunk
  • Seizures
  • Brisk reflexes
  • Underdeveloped pons and corpus callosum
  • Loss of brain tissue in the cerebellum and cerebrum

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in PCLO 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

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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
Should we have genetic testing for PCLO, and should siblings be tested?
How should vision and optic nerve health be monitored?
What help is available for swallowing and feeding?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesPCLO

Changes in the PCLO 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: cerebellar atrophy with progressive microcephaly; clam; congenital pontocerebellar hypoplasia type 3; non-syndromic pontocerebellar hypoplasia caused by mutation in pclo; pch with optic atrophy; pch without dyskinesia

Patient organizations

Source: NIH GARD · Pontocerebellar hypoplasia type 3GARD ID 10708 · 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

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