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Living with SLC35A2-congenital disorder of glycosylation

An inherited condition that affects the brain and other organs, with early seizures and severe developmental delay.

Understanding SLC35A2-congenital disorder of glycosylation

SLC35A2-congenital disorder of glycosylation (SLC35A2-CDG) is an inherited condition that causes neurological problems and other differences.

Signs usually start early in infancy. Seizures begin in the first months, often infantile spasms, and may not respond to seizure medicines. People often have brain dysfunction, low muscle tone with poor head control, unusual facial features and skeletal differences. Severe intellectual disability and delayed development are common, and many never develop meaningful speech. Feeding difficulty and slow weight gain, and vision or hearing problems, may occur.

Signs & symptoms

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

  • Seizures, often infantile spasms
  • Severe intellectual disability
  • Low muscle tone (floppy infant)
  • Small head (microcephaly)
  • Feeding difficulties
  • Poor weight gain

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 and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in SLC35A2 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

    CDG CARE and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: CDG CARE, Epilepsy 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 CDG CARE 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 SLC35A2 gene confirm this diagnosis?
What options exist when seizure medicines don't work?
What feeding and therapy support is available?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesSLC35A2

GARD lists changes in the SLC35A2 gene. The condition is X-linked, meaning the gene is on the X chromosome.

GeneticNeurologicalInherited Metabolic

Also known as: cdg iim; cdg syndrome type iim; cdg-iim; cdg2m; cdg2m - congenital disorder of glycosylation type 2m; congenital disorder of glycosylation type 2m

Patient organizations

  • CDG CARESLC35A2-congenital disorder of glycosylation · United States
  • CDG & Allies - PPAINSLC35A2-congenital disorder of glycosylation · Epilepsy Foundation
Source: NIH GARD · SLC35A2-congenital disorder of glycosylationGARD ID 12403 · 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 SLC35A2-congenital disorder of glycosylation.

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