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Living with ZTTK syndrome

A rare genetic condition with developmental delay, intellectual disability, brain and bone differences, and distinct facial features.

Understanding ZTTK syndrome

ZTTK syndrome is a rare genetic condition that causes developmental delay, intellectual disability, distinct facial features and differences in the brain and body.

Brain differences can include unusual folding of the brain, larger fluid spaces, and a smaller corpus callosum and cerebellum. Some people have spine differences like scoliosis, stiff joints, eye problems, seizures, short height, and heart or digestive problems. Onset is listed at birth.

Signs & symptoms

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

  • Intellectual disability
  • Global developmental delay
  • Low muscle tone in infancy
  • Feeding difficulties in infancy
  • Seizures
  • Crossed eyes (strabismus) and farsightedness

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 SON 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 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 genetic testing of the SON gene confirm the diagnosis?
Should we have a brain MRI and heart check?
Which therapies and specialists can support development and feeding?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesSON

Changes in the SON gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurological

Also known as: brain malformations-musculoskeletal abnormalities-facial dysmorphism-intellectual disability syndrome; brain malformations, musculoskeletal abnormalities, facial dysmorphism, intellectual disability syndrome; tokims; tokita-kim syndrome; zhu tokita takenouchi kim syndrome; zhu-tokita-takenouchi-kim syndrome

Patient organizations

Source: NIH GARD · ZTTK syndromeGARD ID 13489 · 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 ZTTK syndrome.

Explore the ZTTK syndrome blog

Explore research for ZTTK syndrome

Explore actively recruiting ZTTK syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for ZTTK 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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