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Living with X-linked intellectual disability-cerebellar hypoplasia syndrome

A rare X-linked condition (OPHN1 syndrome) with moderate to severe learning disability and differences in the cerebellum.

Understanding X-linked intellectual disability-cerebellar hypoplasia syndrome

X-linked intellectual disability-cerebellar hypoplasia syndrome, also called OPHN1 syndrome, is a rare form of cerebellar development difference.

It causes moderate to severe intellectual disability and cerebellar differences. The cerebellum is the part of the brain that helps with coordination. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Moderate to severe intellectual disability
  • Global developmental delay
  • Poor coordination (ataxia)
  • Low muscle tone
  • Seizures
  • Autistic behavior

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in OPHN1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 OPHN1 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
Could OPHN1 genetic testing confirm the diagnosis?
What therapies can support coordination and speech?
How can seizures be monitored and managed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesOPHN1

This condition is caused by changes in the OPHN1 gene and follows X-linked inheritance.

GeneticNeurological

Also known as: intellectual developmental disorder, x-linked syndromic, billuart type, x-linked recessive; intellectual developmental disorder, x-linked, syndromic, billuart type; oligophrenin-1 syndrome; ophn1 syndrome

Patient organizations

Source: NIH GARD · X-linked intellectual disability-cerebellar hypoplasia syndromeGARD ID 9947 · 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-cerebellar hypoplasia syndrome.

Explore the X-linked intellectual disability-cerebellar hypoplasia syndrome blog

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