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Living with X-linked cerebral-cerebellar-coloboma syndrome syndrome

A rare genetic condition from birth with brain differences, eye coloboma, low muscle tone, seizures, and developmental delay.

Understanding X-linked cerebral-cerebellar-coloboma syndrome syndrome

X-linked cerebral-cerebellar-coloboma syndrome is a rare genetic syndrome with a main feature of a brain (cerebellar) malformation.

GARD describes an underdeveloped part of the cerebellum, enlarged brain fluid spaces, a missing brain connection (corpus callosum), and eye coloboma (a gap in an eye structure). Babies have fluid buildup in the brain, low muscle tone, an abnormal breathing pattern, vision problems, and severe developmental delay. Seizures can occur.

Signs & symptoms

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

  • Extra fluid in the brain (hydrocephalus)
  • Eye coloboma
  • Low muscle tone in infancy (floppy infant)
  • Pauses in breathing in infancy
  • Developmental delay and intellectual disability
  • Seizures and feeding difficulties

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. Ask which tests can help

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

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 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
How are the breathing and feeding concerns managed?
Which specialists should be on my child's care team?
Is genetic testing available for our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD says changes in genes (variants) cause this condition and it follows X-linked inheritance. It doesn't name a gene.

GeneticNeurological

Also known as: cerebral-cerebellar-coloboma syndrome, x-linked; cerebral-cerebellar-coloboma syndrome, x-linked, x-linked recessive; x-linked cerebral-cerebellar-coloboma syndrome; x-linked cerebral, cerebellar, coloboma syndrome; x-linked intellectual disability kroes type; x-linked intellectual disability, kroes type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · X-linked cerebral-cerebellar-coloboma syndrome syndromeGARD ID 17006 · 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 X-linked cerebral-cerebellar-coloboma syndrome syndrome.

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