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Living with X-linked intellectual disability, Schimke type

A genetic nervous system condition present from birth with developmental delay, movement problems, hearing loss, and small head size.

Understanding X-linked intellectual disability, Schimke type

X-linked intellectual disability, Schimke type, is a genetic neurological disorder present from birth.

Symptoms usually begin before birth or in infancy. People may have little or no speech, developmental delay, involuntary movements, hearing loss, and paralysis of outer eye muscles. Infants may have trouble feeding, low muscle tone, and poor head control. Females typically have milder symptoms, and some have none.

Signs & symptoms

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

  • Global developmental delay
  • Absent speech
  • Involuntary movements (dyskinesia)
  • Hearing loss
  • Low muscle tone and poor head control
  • Poor feeding and slow weight gain in infancy

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
What therapies can help with movement and speech?
How often should hearing be tested?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD says it is inherited in an X-linked way. It doesn't name a gene here.

GeneticNeurological

Also known as: schimke syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · X-linked intellectual disability, Schimke typeGARD ID 9288 · 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, Schimke type.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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