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Living with TELO2-related intellectual disability-neurodevelopmental disorder

A rare genetic condition with delayed development, low muscle tone, small head, and movement and balance problems.

Understanding TELO2-related intellectual disability-neurodevelopmental disorder

TELO2-related intellectual disability-neurodevelopmental disorder is a rare genetic condition that affects development and the nervous system.

Children have global developmental delay, intellectual disability, low muscle tone in infancy, and a small head. They also have movement and balance problems. Other features vary and can include hearing loss, vision problems from the brain, finger and toe differences, heart differences, a curved spine, sleep problems, and seizures. Signs are seen in the newborn period.

Signs & symptoms

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

  • Delayed development and intellectual disability
  • Low muscle tone in infancy
  • Small head (microcephaly)
  • Movement and balance problems
  • Little or no speech
  • Seizures and hearing loss

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 TELO2 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 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
Which therapies can best support my child's development?
How often should hearing and vision be checked?
Would TELO2 gene testing help our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesTELO2

Changes in the TELO2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: telo2-related intellectual disability, neurodevelopmental disorder; telomere maintenance 2-related intellectual disability, neurodevelopmental disorder; you hoover fong syndrome; you-hoover-fong syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · TELO2-related intellectual disability-neurodevelopmental disorderGARD ID 17898 · 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 TELO2-related intellectual disability-neurodevelopmental disorder.

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