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Living with Porencephaly-microcephaly-bilateral congenital cataract syndrome

A rare genetic brain condition with cataracts in both eyes from birth, severe brain damage, stiff muscles and seizures.

Understanding Porencephaly-microcephaly-bilateral congenital cataract syndrome

Porencephaly-microcephaly-bilateral congenital cataract syndrome is a rare genetic brain malformation syndrome with cataracts in both eyes from birth.

It involves severe bleeding-related damage to brain tissue with large cyst-like cavities, enlarged brain fluid spaces and a small head. People typically have stiff muscles, strong reflexes and seizures. An enlarged liver and kidney differences have also been reported. It starts around birth or in infancy.

Signs & symptoms

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

  • Cataracts in both eyes from birth
  • Stiff muscles (spasticity)
  • Seizures
  • Small head (microcephaly)
  • Enlarged liver
  • Kidney differences

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 JAM3 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 JAM3, and should siblings be tested?
How should the cataracts and vision be treated?
Which seizure treatments and kidney and liver checks are needed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesJAM3

Changes in the JAM3 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Porencephaly-microcephaly-bilateral congenital cataract syndromeGARD ID 17380 · 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 Porencephaly-microcephaly-bilateral congenital cataract syndrome.

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Explore actively recruiting Porencephaly-microcephaly-bilateral congenital cataract syndrome studies with HealthSpark.

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