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Living with X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome

A rare X-linked condition with a small head, severe developmental delay, seizures, slow growth, and distinct features.

Understanding X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome

This rare X-linked syndrome has low muscle tone, a small head, severe developmental delay, seizures, and slow growth.

It can also include heart wall defects, undescended testes, hypospadias, and distinct facial features such as prominent ears, a prominent lower jaw, a thin upper lip, and crowded teeth. Signs begin during pregnancy or in the newborn period.

Signs & symptoms

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

  • Small head size (microcephaly)
  • Severe developmental delay
  • Seizures
  • Low muscle tone (hypotonia)
  • Marked slow growth
  • Repeated infections

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 RPL10 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 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
Could RPL10 genetic testing help our family?
Which specialists should be on my child's care team?
How can the seizures and reflux be managed?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesRPL10

This condition is caused by changes in the RPL10 gene and follows X-linked inheritance.

GeneticNeurological

Also known as: x-linked microcephaly, growth retardation, prognathism, cryptorchidism syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndromeGARD ID 17721 · 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 microcephaly-growth retardation-prognathism-cryptorchidism syndrome.

Explore the X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome blog

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

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