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Living with Shashi-Pena syndrome

A genetic condition with distinctive facial features and varied effects on growth, learning, feeding, the heart and behavior.

Understanding Shashi-Pena syndrome

Shashi-Pena syndrome is a genetic condition with distinctive facial features and a range of other findings that differ from person to person.

Facial features can include widely spaced, prominent eyes, drooping eyelids, arched eyebrows and a broad nose tip. Most babies have low muscle tone that often improves over time. Large size at birth and a large head are common. Development ranges from low-average to severe intellectual disability. Other findings can include feeding trouble, heart defects, seizures, low blood sugar, vision problems and hearing loss.

Signs & symptoms

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

  • Global developmental delay
  • Low muscle tone (hypotonia)
  • Large head (macrocephaly)
  • Feeding difficulties in infancy
  • Drooping upper eyelids (ptosis)
  • Fever-triggered 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 and genetic specialists.

  3. Consider genetic testing

    Changes in ASXL2 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

    ASXL Rare Research Endowment Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: ASXL Rare Research Endowment 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 ASXL Rare Research Endowment 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 ASXL2 gene confirm this diagnosis?
Should we check for heart, vision and hearing problems?
How should low blood sugar and feeding be monitored?

Quick facts

InheritanceAutosomal Dominant
GenesASXL2

GARD lists changes in the ASXL2 gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurological

Also known as: shapns; shashi-pena syndrome; shapns

Patient organizations

Source: NIH GARD · Shashi-Pena syndromeGARD ID 27359 · 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 Shashi-Pena syndrome.

Explore the Shashi-Pena syndrome blog

Explore research for Shashi-Pena syndrome

Explore actively recruiting Shashi-Pena syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Shashi-Pena syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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