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Living with Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndrome

A rare genetic nervous system condition with hearing loss, severe developmental delay, stiff muscles and seizures, starting in infancy.

Understanding Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndrome

Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndrome is a rare genetic neurological condition that starts in infancy.

Babies may grow slowly before birth and have trouble gaining weight. Hearing loss (sensorineural deafness) begins in infancy. People have severe developmental delay, a small head, muscle stiffness with abnormal movements (dystonia), and weakness or paralysis in the limbs. Eye differences, seizures and changes in the brain can also occur.

Signs & symptoms

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

  • Hearing loss
  • Small head (microcephaly)
  • Paralysis of all four limbs (tetraplegia)
  • Poor weight gain (failure to thrive)
  • Crossed eyes (strabismus)
  • Repeated fevers

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in BCAP31 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

    Dystonia Medical Research Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: Dystonia Medical Research Foundation
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 Dystonia Medical Research Foundation
  • 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 BCAP31 gene confirm this diagnosis?
What hearing and feeding support is available?
How can seizures and muscle stiffness be managed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesBCAP31

GARD lists changes in the BCAP31 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: cadds - contiguous abcd1 dxs1357e deletion syndrome; chromosome xq28 deletion syndrome; contiguous abcd1 dxs1357e deletion syndrome; deafness, dystonia, and cerebral hypomyelination, x-linked recessive; severe motor and intellectual disabilities-sensorineural hearing loss-dystonia syndrome; zellweger-like contiguous gene deletion syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndromeGARD ID 17592 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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