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Living with X-linked intellectual disability, Cantagrel type

A rare X-linked condition with low muscle tone from birth, severely delayed development, and autism-like behaviors.

Understanding X-linked intellectual disability, Cantagrel type

X-linked intellectual disability, Cantagrel type, is a rare condition with low muscle tone from birth and severely delayed development.

GARD lists weakness that gets worse in all four limbs, walking at about age 3, acid reflux, repeated hand movements, inward-turning eyes, and early childhood autism. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Low muscle tone from birth
  • Severe developmental delay
  • Absent speech
  • Autistic behavior
  • Seizures
  • Acid reflux

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 NEXMIF 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 Simons Searchlight
  • 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
Could NEXMIF genetic testing help our family?
Which therapies can support movement and communication?
How can reflux and seizures be managed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesNEXMIF

X-linked intellectual disability, Cantagrel type, is caused by changes in the NEXMIF gene and follows X-linked inheritance.

GeneticNeurological

Also known as: intellectual developmental disorder, x-linked 98; intellectual disability, x-linked 98; intellectual disability, x-linked type 98; kiaa2022-related x-linked mental retardation; x-linked intellectual developmental disorder-98; x-linked intellectual disability-98

Patient organizations

Source: NIH GARD · X-linked intellectual disability, Cantagrel typeGARD ID 16743 · 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 intellectual disability, Cantagrel type.

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  • 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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