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Living with Severe intellectual disability-corpus callosum agenesis-facial dysmorphism-cerebellar ataxia syndrome

A rare genetic brain condition from birth with a small head, severe intellectual disability, balance problems, and distinct facial features.

Understanding Severe intellectual disability-corpus callosum agenesis-facial dysmorphism-cerebellar ataxia syndrome

Severe intellectual disability-corpus callosum agenesis-facial dysmorphism-cerebellar ataxia syndrome is a rare genetic neurological condition.

Babies are born with a small head, severe intellectual disability, and stiff muscles that ease with age. They have poor balance and coordination (ataxia). Facial features include thick arched eyebrows, long eyelashes, and low-set ears. Brain imaging shows partial to almost complete absence of the corpus callosum and differences in the cerebellum.

Signs & symptoms

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

  • Small head size (microcephaly)
  • Severe intellectual disability
  • Absent speech
  • Increased muscle tone (hypertonia)
  • Brain differences (absent corpus callosum)
  • Slow growth

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 FRMD4A 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 National Organization of Disorders of the Corpus Callosum
  • 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 FRMD4A gene?
What therapies can help with movement and communication?
How can we manage muscle stiffness?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesFRMD4A

It is caused by changes in the FRMD4A gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: birk-flusser syndrome; ccafca; corpus callosum, agenesis of, with facial anomalies and cerebellar ataxia; severe intellectual disability, agenesis of corpus callosum, facial dysmorphism, cerebellar ataxia syndrome

Patient organizations

Source: NIH GARD · Severe intellectual disability-corpus callosum agenesis-facial dysmorphism-cerebellar ataxia syndromeGARD ID 17824 · 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

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