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Living with Proximal chromosome 18q deletion syndrome

A chromosome condition from a missing piece of chromosome 18, often with developmental delay and distinct facial features.

Understanding Proximal chromosome 18q deletion syndrome

Proximal chromosome 18q deletion syndrome occurs when a piece of the long arm of chromosome 18, near its center, is missing.

Features depend on the size and location of the deletion and the genes involved. They often include developmental delay, intellectual disability, and distinct facial features. Some people also have seizures, low muscle tone, speech and language delays, obesity, or short stature.

Signs & symptoms

Symptoms vary from person to person. GARD says these often occur:

  • Delays in development
  • Intellectual disability
  • Distinct facial features
  • Seizures
  • Low muscle tone (hypotonia)
  • Speech and language delays

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 Chromosome Disorder Outreach
  • 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 both parents have chromosome testing?
How large is the deletion, and which genes are involved?
What therapies can support speech and development?

Quick facts

It is caused by a missing piece of chromosome 18. In most cases the parents have no chromosome change, but sometimes a parent has a balanced translocation, which raises the chance of having a child with a deletion.

Also known as: proximal 18q deletion; proximal 18q deletion syndrome; proximal 18q-

Patient organizations

Source: NIH GARD · Proximal chromosome 18q deletion syndromeGARD ID 10866 · 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 Proximal chromosome 18q deletion syndrome.

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