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Living with THOC6-related developmental delay-microcephaly-facial dysmorphism syndrome

A rare genetic condition with developmental delay, a smaller head, and intellectual disability.

Understanding THOC6-related developmental delay-microcephaly-facial dysmorphism syndrome

THOC6-related developmental delay-microcephaly-facial dysmorphism syndrome is a rare genetic condition that causes delays in development and a smaller than average head.

It causes mild to severe intellectual disability and some differences in the face. Other features present at birth can include heart defects, dental problems, and differences in the kidneys and brain. Boys may have undescended testes. Short stature is also common. Signs are noticed in the newborn period or infancy.

Signs & symptoms

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

  • Global developmental delay
  • Delayed speech and language
  • Mild microcephaly (smaller than average head)
  • Mild to severe intellectual disability
  • Heart differences
  • Dental problems, including cavities

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 THOC6 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 Child Neurology 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
Can genetic testing of the THOC6 gene confirm this diagnosis?
Should we have heart and kidney checks?
What therapies could help with speech and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTHOC6

This condition is caused by changes in the THOC6 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: bbis; bbis - beaulieu boycott innes syndrome; beaulieu boycott innes syndrome; beaulieu-boycott-innes syndrome; tho complex 6-related developmental delay, microcephaly, facial dysmorphism syndrome

Patient organizations

Source: NIH GARD · THOC6-related developmental delay-microcephaly-facial dysmorphism syndromeGARD ID 17558 · 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 THOC6-related developmental delay-microcephaly-facial dysmorphism syndrome.

Explore the THOC6-related developmental delay-microcephaly-facial dysmorphism syndrome blog

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