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Living with Pontocerebellar hypoplasia type 7

A very rare genetic brain condition with low muscle tone, slow head growth, seizures and differences in genital development in people with XY chromosomes.

Understanding Pontocerebellar hypoplasia type 7

Pontocerebellar hypoplasia type 7 (PCH7) is a very rare form of pontocerebellar hypoplasia that was reported in four people.

In newborns it shows as low muscle tone. From infancy there is slow head growth (progressive microcephaly), pauses in breathing, poor feeding and seizures. In people with XY chromosomes it comes with a difference of sex development, such as a small penis or no palpable gonads. In people with XX chromosomes, it may show as only the brain condition. MRI shows an underdeveloped pons and cerebellum.

Signs & symptoms

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

  • Low muscle tone
  • Small head size (microcephaly)
  • Delayed development and intellectual disability
  • Seizures and poor feeding
  • Differences in genital development
  • Muscle twitching and wasting

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 TOE1 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

    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: 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 Epilepsy Foundation
  • 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 TOE1, and should siblings be tested?
Which specialists, such as endocrinology, should be involved for sex development?
What support is available for feeding and breathing pauses?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTOE1

Changes in the TOE1 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 7; non-syndromic pontocerebellar hypoplasia caused by mutation in toe1; pch7; pch7 - pontocerebellar hypoplasia type 7; pontocerebellar hypoplasia-46,xy disorder of sex development syndrome; toe1 non-syndromic pontocerebellar hypoplasia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Pontocerebellar hypoplasia type 7GARD ID 17315 · 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 7.

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