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Living with Syndromic X-linked intellectual disability Najm type

An X-linked brain condition with cerebellum differences and a range from mild to severe learning disability, sometimes with eye movement problems.

Understanding Syndromic X-linked intellectual disability Najm type

Syndromic X-linked intellectual disability, Najm type is a rare X-linked condition in which the cerebellum, a balance part of the brain, is underdeveloped.

Features range from mild intellectual disability, with or without shaky eye movements (nystagmus), to severe cognitive impairment. Brain scans may show small cerebellum and pons and differences in the brain's outer layer. Signs may begin in the newborn or infant years.

Signs & symptoms

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

  • Intellectual disability, mild to severe
  • Small head size
  • Shaky eye movements (nystagmus)
  • Low muscle tone as a baby
  • Muscle stiffness and trouble walking
  • 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 CASK 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 Angelina Cask Neurological Research Foundation 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
How can seizures best be managed?
What therapies help with muscle tone and walking?
Would CASK gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesCASK

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

GeneticNeurological

Also known as: intellectual developmental disorder and microcephaly with pontine and cerebellar hypoplasia, x-linked dominant; intellectual developmental disorder with microcephaly and pontine and cerebellar hypoplasia; intellectual disability and microcephaly with pontine and cerebellar hypoplasia; intellectual disability, x-linked, syndromic, najm type; micpch; micpch syndrome

Patient organizations

Source: NIH GARD · Syndromic X-linked intellectual disability Najm typeGARD ID 12669 · 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 Najm type.

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  • Eligibility is confirmed by the study team

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