Overview
Rhombencephalosynapsis (RES) is a rare brain malformation that affects the cerebellum — the part of the brain at the back of the head that controls balance, coordination, and movement. In this condition, the two halves of the cerebellum (called hemispheres) are fused together instead of being separate, and a structure called the vermis is partially or completely missing. The name comes from 'rhombencephalon,' the medical term for the back part of the brain. There are no widely used synonyms, though it is sometimes abbreviated as RES. This condition is usually present from birth and is most often discovered through brain imaging such as an MRI. The severity varies widely from person to person. Some individuals have mild symptoms, while others face significant challenges with movement, balance, learning, and development. Many children with RES also have problems with eye movement control, and some have additional brain or body abnormalities. There is currently no cure for rhombencephalosynapsis. Treatment focuses on managing symptoms and supporting development. This may include physical therapy, occupational therapy, speech therapy, and medications to control seizures if they occur. Early intervention and ongoing support can make a meaningful difference in quality of life for those living with this condition.
Key symptoms:
Poor balance and coordinationDelayed motor milestones such as sitting, standing, or walkingIntellectual disability or learning difficultiesAbnormal eye movements (such as eyes moving together in an unusual way)Muscle stiffness or unusual muscle toneSeizuresSpeech and language delaysDifficulty with fine motor tasks like writing or buttoning clothesHydrocephalus (fluid buildup in the brain) in some casesBehavioral challenges
Clinical phenotype terms (30)— hover any for plain English
Sporadic
Usually appears on its own, not inherited from a parent
Neonatal
Begins at or shortly after birth (first 4 weeks)
Treatments
No FDA-approved treatments are currently listed for Rhombencephalosynapsis.
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Specialists
View all specialists →No specialists are currently listed for Rhombencephalosynapsis.
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to Rhombencephalosynapsis.
Community
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Caregiver Resources
NORD Caregiver Resources
Support, advocacy, and financial assistance for caregivers of rare disease patients.
Mental Health Support
Rare disease caregiving can be isolating. Connect with counseling and peer support.
Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.How severe is my child's rhombencephalosynapsis, and what does that mean for their development?,Should we pursue genetic testing, and could this condition be inherited or recur in future pregnancies?,What therapies do you recommend, and how often should my child receive them?,Is my child at risk for hydrocephalus, and how will we monitor for it?,What signs should prompt me to seek emergency care?,Are there any clinical trials or research studies we could participate in?,What educational and community support resources are available for our family?
Common questions about Rhombencephalosynapsis
What is Rhombencephalosynapsis?
Rhombencephalosynapsis (RES) is a rare brain malformation that affects the cerebellum — the part of the brain at the back of the head that controls balance, coordination, and movement. In this condition, the two halves of the cerebellum (called hemispheres) are fused together instead of being separate, and a structure called the vermis is partially or completely missing. The name comes from 'rhombencephalon,' the medical term for the back part of the brain. There are no widely used synonyms, though it is sometimes abbreviated as RES. This condition is usually present from birth and is most of
How is Rhombencephalosynapsis inherited?
Rhombencephalosynapsis follows a sporadic inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does Rhombencephalosynapsis typically begin?
Typical onset of Rhombencephalosynapsis is neonatal. Age of onset can vary across affected individuals.