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Living with Severe X-linked intellectual disability, Gustavson type

A very rare X-linked genetic condition with severe learning challenges, small head size, vision and hearing loss, and seizures.

Understanding Severe X-linked intellectual disability, Gustavson type

Severe X-linked intellectual disability, Gustavson type, is a very rare genetic condition that affects the brain, growth, vision and hearing.

People have severe intellectual disability, a small head, and slow growth after birth. They have severe vision loss or blindness from optic nerve damage and severe hearing loss. Muscle stiffness, seizures and limited joint movement can occur, along with large ears and a short, broad nose. Signs start in the newborn and infant period. GARD notes there have been no further descriptions in the medical literature since 1993.

Signs & symptoms

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

  • Severe intellectual disability
  • Small head (microcephaly)
  • Blindness from optic nerve damage
  • Profound hearing loss
  • Stiff muscles (spasticity)
  • 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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RBMX 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 rare disease patient organizations for support
  • 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 RBMX gene confirm this diagnosis?
What vision, hearing and feeding support is available?
How could this affect other family members?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesRBMX

GARD lists changes in the RBMX gene. The condition is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: gustavson syndrome; intellectual developmental disorder with optic atrophy, deafness, and seizures; mrxsg

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Severe X-linked intellectual disability, Gustavson typeGARD ID 5611 · 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 X-linked intellectual disability, Gustavson type.

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