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Living with Spastic tetraplegia-thin corpus callosum-progressive postnatal microcephaly syndrome

A rare genetic condition of newborns and infants that affects the brain, causing delayed development, a small head and stiff muscles.

Understanding Spastic tetraplegia-thin corpus callosum-progressive postnatal microcephaly syndrome

Spastic tetraplegia-thin corpus callosum-progressive postnatal microcephaly syndrome is a rare condition that affects the brain and nervous system of newborns and infants.

It is caused by a lack of an amino acid called serine in the body. Signs include delayed development, a small head, intellectual disability, stiff and tight arms and legs, and seizures. Brain MRI shows a thin corpus callosum, delayed myelination and brain shrinkage. Behavior issues, unusual hand movements and repeated behaviors may also occur.

Signs & symptoms

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

  • Delayed development
  • Small head (microcephaly)
  • Stiff, tight muscles (spasticity)
  • Seizures
  • Intellectual disability
  • Trouble swallowing

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 SLC1A4 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)
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 SLC1A4 gene confirm this diagnosis?
Could serine levels be checked or treated?
What feeding and therapy support is available?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC1A4

GARD lists changes in the SLC1A4 gene, which lead to a lack of serine. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: asct1 deficiency; spastic quadriplegia-thin corpus callosum-progressive postnatal microcephaly syndrome; spastic quadriplegia, thin corpus callosum, progressive postnatal microcephaly syndrome; spastic tetraplegia, thin corpus callosum, and progressive microcephaly; spastic tetraplegia, thin corpus callosum, progressive postnatal microcephaly syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Spastic tetraplegia-thin corpus callosum-progressive postnatal microcephaly syndromeGARD ID 13425 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Spastic tetraplegia-thin corpus callosum-progressive postnatal microcephaly syndrome.

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