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Living with Sandhoff disease

A rare inherited condition that slowly damages nerve cells in the brain and spinal cord, with infantile, juvenile, and adult forms.

Understanding Sandhoff disease

Sandhoff disease is a rare inherited condition that progressively destroys nerve cells (neurons) in the brain and spinal cord.

There are three types, named by age at onset: infantile, juvenile, and adult. In the infantile form, babies seem healthy until 3 to 6 months, then development slows, muscles weaken, and skills are lost. Seizures, vision and hearing loss, and intellectual disability follow. The juvenile and adult forms are very rare and tend to be milder.

Signs & symptoms

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

  • Loss of movement skills
  • Muscle weakness
  • Seizures
  • Vision and hearing loss
  • Cherry-red spot in the eye
  • Enlarged liver and spleen

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 HEXB 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 and The Foundation for Peripheral Neuropathy 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: Epilepsy Foundation, The Foundation for Peripheral Neuropathy
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 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 the HEXB gene?
What care can help with seizures and feeding?
What are the chances for future pregnancies?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesHEXB

It is caused by changes in the HEXB gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: beta-hexosaminidase-beta-subunit deficiency; gm>2< gangliosidosis, type 2; gm2 gangliosidosis 0 variant; gm2 gangliosidosis, 0 variant; gm2 gangliosidosis, type 2; gm2-gangliosidosis, type ii

Patient organizations

Source: NIH GARD · Sandhoff diseaseGARD ID 2521 · 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 Sandhoff disease.

Explore the Sandhoff disease blog

Explore research for Sandhoff disease

Explore actively recruiting Sandhoff disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sandhoff disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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