Cortical blindness-intellectual disability-polydactyly syndrome

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ORPHA:1389OMIM:218010Q87.8
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Overview

Cortical blindness-intellectual disability-polydactyly syndrome is an extremely rare genetic condition that affects several parts of the body at the same time. The three main features are cortical blindness (a type of vision loss caused by problems in the brain's visual processing area rather than the eyes themselves), intellectual disability (difficulty with learning, reasoning, and daily problem-solving), and polydactyly (having extra fingers or toes at birth). Because the brain's visual cortex does not work properly, affected individuals cannot see even though their eyes may appear normal. The intellectual disability can range from mild to severe and typically becomes apparent in early childhood as developmental milestones are delayed. The extra digits may appear on the hands, feet, or both, and can vary in size and function. This syndrome was described in only a very small number of families in the medical literature, making it one of the rarest known genetic conditions. Because so few cases have been reported, our understanding of the full range of symptoms, the exact genetic cause, and the best treatment approaches remains limited. There is currently no cure for this condition. Treatment is supportive and focuses on managing each symptom individually. This may include early intervention programs for developmental delays, special education services, mobility and orientation training for blindness, and surgical correction of extra digits if needed. A team of specialists working together provides the best care for affected individuals.

Key symptoms:

Blindness caused by brain problems rather than eye problems (cortical blindness)Intellectual disabilityExtra fingers or toes (polydactyly)Delayed developmental milestonesDifficulty with speech and languageLearning difficultiesPoor motor coordinationLack of visual response despite normal-appearing eyesBehavioral challengesSeizures (reported in some cases)

Clinical phenotype terms (14)— hover any for plain English
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Cortical blindness-intellectual disability-polydactyly syndrome.

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No actively recruiting trials found for Cortical blindness-intellectual disability-polydactyly syndrome at this time.

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No specialists are currently listed for Cortical blindness-intellectual disability-polydactyly syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Cortical blindness-intellectual disability-polydactyly syndrome.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.What is the severity of my child's cortical blindness, and is there any chance of partial vision improvement?,What genetic testing should we pursue to better understand the cause?,What early intervention therapies are most important to start right away?,Should the extra fingers or toes be surgically removed, and when is the best time?,Is my child at risk for seizures, and what should I watch for?,What is the expected level of independence my child may achieve?,Are there other family members who should be tested or counseled?

Common questions about Cortical blindness-intellectual disability-polydactyly syndrome

What is Cortical blindness-intellectual disability-polydactyly syndrome?

Cortical blindness-intellectual disability-polydactyly syndrome is an extremely rare genetic condition that affects several parts of the body at the same time. The three main features are cortical blindness (a type of vision loss caused by problems in the brain's visual processing area rather than the eyes themselves), intellectual disability (difficulty with learning, reasoning, and daily problem-solving), and polydactyly (having extra fingers or toes at birth). Because the brain's visual cortex does not work properly, affected individuals cannot see even though their eyes may appear normal.

How is Cortical blindness-intellectual disability-polydactyly syndrome inherited?

Cortical blindness-intellectual disability-polydactyly syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Cortical blindness-intellectual disability-polydactyly syndrome typically begin?

Typical onset of Cortical blindness-intellectual disability-polydactyly syndrome is neonatal. Age of onset can vary across affected individuals.