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Living with VACTERL with hydrocephalus

A rare condition present at birth with differences in the spine, bowel, heart, kidneys, and limbs, plus extra fluid in the brain.

Understanding VACTERL with hydrocephalus

VACTERL with hydrocephalus is a rare condition present at birth that combines VACTERL differences with extra fluid in the brain.

VACTERL stands for spine (vertebral), anus, heart, windpipe and food pipe connection, kidney, and limb differences. Hydrocephalus is a buildup of fluid in the brain. GARD says this pairing is rare and may differ from VACTERL association in general.

Signs & symptoms

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

  • Extra fluid in the brain (hydrocephalus)
  • Missing or irregular spine bones (hemivertebrae)
  • Closed anus (anal atresia)
  • Food pipe not fully formed (esophageal atresia)
  • Heart and kidney differences
  • Intellectual disability

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in FANCB 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); Digestive system specialists (gastroenterologists); 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 Pull-thru Network
  • 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 is the hydrocephalus monitored and managed?
Which specialists should be involved in care?
Could FANCB genetic testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, X-Linked
GenesFANCB

GARD lists the FANCB gene and says this may follow an autosomal recessive pattern in some people. It also lists X-linked inheritance.

GeneticNeurologicalGastrointestinal

Also known as: sujansky-leonard syndrome; vacterl-h

Patient organizations

Source: NIH GARD · VACTERL with hydrocephalusGARD ID 272 · 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 VACTERL with hydrocephalus.

Explore the VACTERL with hydrocephalus blog

Explore research for VACTERL with hydrocephalus

Explore actively recruiting VACTERL with hydrocephalus studies with HealthSpark.

HealthSpark

Find actively recruiting studies for VACTERL with hydrocephalus with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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