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Living with Zechi-Ceide syndrome

A rare genetic condition with a bulge at the back of the head, cleft lip or palate, missing teeth and distinct facial features.

Understanding Zechi-Ceide syndrome

Zechi-Ceide syndrome is a rare genetic condition marked by a small bulge at the back of the head (occipital cephalocele) and a particular pattern of facial features.

Facial features include a prominent forehead, narrow eye openings, a flat midface, a broad nose, a thin upper lip and cleft lip or palate. People also have severely missing teeth (oligodontia) and large feet with a gap between the first and second toes. Intellectual disability, developmental delay and small finger and toenails have been reported.

Signs & symptoms

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

  • Bulge at the back of the head (atretic occipital cephalocele)
  • Cleft lip and cleft palate
  • Many missing teeth (oligodontia)
  • Hearing loss from the middle ear (conductive)
  • Global developmental delay
  • Gap between the first and second toes (sandal gap)

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 There Is Hope: Encephalocele Awareness
  • 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
Is genetic testing available to confirm the diagnosis?
Which specialists should follow cleft care, teeth and hearing?
What is the chance of this happening in another pregnancy?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD doesn't name a gene for this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: occipital atretic cephalocele-unusual facies-large feet syndrome; occipital atretic cephalocele, unusual facies and large feet; occipital atretic cephalocele, unusual facies, large feet syndrome; zechi ceide syndrome

Patient organizations

Source: NIH GARD · Zechi-Ceide syndromeGARD ID 10582 · 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 Zechi-Ceide syndrome.

Explore the Zechi-Ceide syndrome blog

Explore research for Zechi-Ceide syndrome

Explore actively recruiting Zechi-Ceide syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Zechi-Ceide syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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