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Living with Syndromic X-linked intellectual disability Hedera type

An X-linked condition starting in infancy with delayed development, seizures, and mild to moderate intellectual disability.

Understanding Syndromic X-linked intellectual disability Hedera type

Syndromic X-linked intellectual disability, Hedera type is a rare X-linked condition that begins in infancy.

Infants have delayed motor and speech milestones. They have generalized tonic-clonic seizures and drop attacks, along with mild to moderate intellectual disability. Less common features include a curved spine, balance problems that cause progressive trouble walking, and flat feet. Physical appearance is typical, with no unusual facial features reported.

Signs & symptoms

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

  • Delayed speech and motor skills
  • Seizures, including drop attacks
  • Mild to moderate intellectual disability
  • Unsteady walk
  • Muscle stiffness
  • Lowered reflexes

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 ATP6AP2 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

    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: 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 Epilepsy 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
How can seizures and drop attacks be managed safely?
What therapies help with speech and movement?
Would ATP6AP2 gene testing help our family?

Quick facts

Symptoms usually startInfant
InheritanceX-Linked
GenesATP6AP2

Changes in the ATP6AP2 gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: intellectual developmental disorder, x-linked, syndromic, hedera type; intellectual developmental disorder, x-linked, syndromic, hedera type, x-linked recessive; intellectual disability, x-linked, syndromic, hedera type; mrxe; mrxsh; x-linked intellectual disability hedera type

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Syndromic X-linked intellectual disability Hedera typeGARD ID 16834 · 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 Syndromic X-linked intellectual disability Hedera type.

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  • Eligibility is confirmed by the study team

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