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Living with Trigonocephaly-short stature-developmental delay syndrome

A very rare genetic condition with a triangle-shaped forehead, short stature, and developmental delay.

Understanding Trigonocephaly-short stature-developmental delay syndrome

Trigonocephaly-short stature-developmental delay syndrome is a rare condition with early skull closure, short stature, and developmental delay.

The forehead is narrow and triangle-shaped, with a raised ridge down the middle. Other features can include differences in the face, hearing loss, brain, bone, heart, and kidney differences, hernia, and seizures. GARD says there have been no further descriptions in the medical literature since 1981.

Signs & symptoms

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

  • Global developmental delay
  • Moderate intellectual disability
  • Early closing of skull seams (craniosynostosis)
  • Narrow forehead
  • Slow growth after birth
  • Seizures and heart or groin hernia differences in some people

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial 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
Would genetic counseling help our family?
Which specialists should check the brain, heart, hearing, and kidneys?
What therapies could help with development?

Quick facts

InheritanceX-Linked

GARD says changes in genes (variants) cause this condition and that it is X-linked, which means the gene is on the X chromosome. It doesn't name a specific gene.

GeneticNeurological

Also known as: say meyer syndrome; say-meyer syndrome; trigonocephaly with short stature and developmental delay; trigonocephaly, short stature and developmental delay; trigonocephaly, short stature, and retarded psychomotor development; trigonocephaly, short stature, developmental delay syndrome

Patient organizations

Source: NIH GARD · Trigonocephaly-short stature-developmental delay syndromeGARD ID 243 · 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 Trigonocephaly-short stature-developmental delay syndrome.

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