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Living with Severe intellectual disability-progressive spastic diplegia syndrome

A rare genetic condition with severe learning challenges, a small head, stiff muscles and trouble with coordination.

Understanding Severe intellectual disability-progressive spastic diplegia syndrome

Severe intellectual disability-progressive spastic diplegia syndrome is a rare genetic condition described in a few people with severe intellectual disability.

Along with severe intellectual disability, people may have a head that is very small and gets smaller over time (progressive microcephaly). They may also have poor coordination (ataxia), stiff muscles (spasticity), and differences in the skin, hair or face. Signs begin in infancy.

Signs & symptoms

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

  • Intellectual disability
  • Very small head (microcephaly)
  • Stiff, tight muscles (spasticity)
  • Loss of skills already learned
  • Delayed movement skills
  • Poor speech

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 and genetic specialists.

  3. Consider genetic testing

    Changes in CTNNB1 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); Eye disease specialists (ophthalmologists); 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 CTNNB1 Connect & Cure 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
Can genetic testing of the CTNNB1 gene confirm this diagnosis?
What therapies can help with muscle stiffness and movement?
How should we watch for changes in skills over time?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesCTNNB1

GARD says this condition is caused by changes in the CTNNB1 gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurological

Also known as: autosomal dominant intellectual disability 19; ctnnb1 syndrome; intellectual disability, autosomal dominant type 19; mrd19; nedsdv; neurodevelopmental disorder with spastic diplegia and visual defects

Patient organizations

  • CTNNB1 Connect & CureSevere intellectual disability-progressive spastic diplegia syndrome · United States
  • Simons SearchlightSevere intellectual disability-progressive spastic diplegia syndrome · United States
Source: NIH GARD · Severe intellectual disability-progressive spastic diplegia syndromeGARD ID 3505 · 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 Severe intellectual disability-progressive spastic diplegia syndrome.

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