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Living with Severe neurodegenerative syndrome with lipodystrophy

A rare genetic condition that affects the brain and nerves, and also body fat, the liver and muscles.

Understanding Severe neurodegenerative syndrome with lipodystrophy

Severe neurodegenerative syndrome with lipodystrophy is a rare genetic condition in which brain and nerve function decline and body fat is reduced.

People lose skills over time, with unsteady walking, stiff muscles, loss of language and intellectual disability. Some develop weakness in all four limbs. They also have varying degrees of lipodystrophy (loss of body fat), an enlarged liver, high blood fats and larger muscles. Hyperactivity, tremor and seizures may also occur. Signs start in the newborn and infant period.

Signs & symptoms

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

  • Loss of skills over time
  • Unsteady movements (ataxia)
  • Stiff muscles (spasticity)
  • Loss of body fat (lipodystrophy)
  • Body doesn't respond to insulin
  • Seizures

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, genetic specialists, hormone specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in BSCL2 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); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease 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 BSCL2 gene confirm this diagnosis?
How should blood sugar, liver and blood fats be checked?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesBSCL2

GARD lists changes in the BSCL2 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalEndocrineSkin

Also known as: encephalopathy, progressive, with lipodystrophy; encephalopathy, progressive, with or without lipodystrophy; severe neurodegenerative syndrome due to bscl2 deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Severe neurodegenerative syndrome with lipodystrophyGARD ID 17552 · 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 neurodegenerative syndrome with lipodystrophy.

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