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Living with Syndromic X-linked intellectual disability Snyder type

An X-linked condition (Snyder-Robinson syndrome), only in males, with intellectual disability, thin bones, and low muscle mass.

Understanding Syndromic X-linked intellectual disability Snyder type

Syndromic X-linked intellectual disability, Snyder type (Snyder-Robinson syndrome) occurs only in males and causes intellectual disability and bone and muscle differences.

Intellectual disability ranges from mild to profound, and speech develops late or not at all. Most are thin with low muscle mass, floppy muscle tone from infancy, and an unsteady walk. Thin, brittle bones start in early childhood and break easily. Most develop a curved spine, and heights are shorter than family members. Facial features include a prominent lower lip, a cleft palate, and facial asymmetry.

Signs & symptoms

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

  • Intellectual disability and late or no speech
  • Low muscle mass and low muscle tone
  • Unsteady walk
  • Thin, brittle bones (osteoporosis)
  • Curved spine (kyphoscoliosis)
  • Cleft palate or high narrow palate

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 SMS 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 The Snyder-Robinson 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 we protect bones and prevent fractures?
What therapies can help with walking and speech?
Would SMS gene testing help our family?

Quick facts

Symptoms usually starta variety of ages
InheritanceX-Linked
GenesSMS

Changes in the SMS 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, snyder-robinson type, x-linked recessive; intellectual developmental disorder, x-linked, syndromic, snyder-robinson type; intellectual disability, x-linked, snyder-robinson type; snyder-robinson intellectual disability syndrome; snyder-robinson syndrome; snyder-robinson x-linked mental retardation syndrome

Patient organizations

Source: NIH GARD · Syndromic X-linked intellectual disability Snyder typeGARD ID 5615 · 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 Snyder type.

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