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Living with Pontocerebellar hypoplasia type 6

A rare genetic brain condition with low muscle tone and seizures at birth, then a head that grows slowly, stiff muscles and high lactic acid.

Understanding Pontocerebellar hypoplasia type 6

Pontocerebellar hypoplasia type 6 is a rare genetic brain condition with underdeveloped pons and cerebellum and loss of brain tissue.

At birth, babies have low muscle tone, muscle jerks, epilepsy and trouble swallowing. From infancy, the head grows more slowly, muscles become stiff (spasticity) and lactic acid builds up in the body (lactic acidosis).

Signs & symptoms

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

  • Very delayed development
  • Low muscle tone
  • Seizures
  • Feeding trouble and poor suck
  • Small head (microcephaly)
  • Stiff muscles (spasticity)

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. Consider genetic testing

    Changes in RARS2 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, Epilepsy Foundation and United Mitochondrial Disease 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, United Mitochondrial Disease 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 RARS2, and should siblings be tested?
How are lactic acid levels checked and managed?
What help is available for feeding, seizures and breathing pauses (apnea)?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesRARS2

Changes in the RARS2 gene cause this condition. GARD lists autosomal recessive and mitochondrial inheritance. Autosomal recessive means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: congenital pontocerebellar hypoplasia type 6; fatal infantile encephalopathy with mitochondrial respiratory chain defect; fatal infantile encephalopathy with mitochondrial respiratory chain defects; non-syndromic pontocerebellar hypoplasia caused by mutation in rars2; pch6; pch6 - pontocerebellar hypoplasia type 6

Patient organizations

Source: NIH GARD · Pontocerebellar hypoplasia type 6GARD ID 10710 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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