Disease Directory FOXG1 Syndrome
Neurological

FOXG1 Syndrome

Also known as: Congenital Rett syndrome variant, FOXG1 encephalopathy, FOXG1 haploinsufficiency

Prevalence

1-9 per 100,000 (Orphanet)

Onset

Infantile

Type

Autosomal dominant genetic (de novo in most cases)

Gene

FOXG1

About FOXG1 Syndrome

FOXG1 syndrome is caused by mutations or deletions in FOXG1 encoding forkhead box G1, a transcriptional repressor essential for brain development. Clinical features include congenital or early-onset microcephaly, severe intellectual disability, absent speech, stereotyped hand movements, dyskinesias, and seizures. Unlike classic Rett syndrome, FOXG1 syndrome has an earlier onset and more severe phenotype due to FOXG1's critical role in forebrain development rather than synaptic maintenance.

Common Clinical Features

Severe intellectual disability Absent speech Stereotyped hand movements and dyskinesias Microcephaly Seizures Hypotonia Cortical visual impairment

Clinical Trial Eligibility Tips

What to know before applying to FOXG1 Syndrome trials.

FOXG1 pathogenic variant (deletion via array CGH or point mutation by sequencing) must be confirmed for all trials

Brain MRI showing simplified gyral pattern, corpus callosum hypoplasia, or delayed myelination is characteristic — provide imaging documentation

Movement disorder assessment (dyskinesia type, frequency, severity) is a distinct outcome measure from seizure frequency

FOXG1 is distinct from MECP2-related Rett syndrome — genetic confirmation avoids misclassification in Rett-specific trials

Patient Resources

Patient Organization

FOXG1 Research Foundation

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Natural History Registry

FOXG1 Research Foundation Patient Registry

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Orphanet

European reference resource for rare diseases (ORPHA:329314)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting FOXG1 Syndrome trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for FOXG1 Syndrome. Updated daily.

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