Site Map

Tay-Sachs disease

GM2 gangliosidosis - Tay-Sachs; Lysosomal storage disease - Tay-Sachs disease

Tay-Sachs disease is a life-threatening disease of the nervous system passed down through families.

Images

Causes

Tay-Sachs disease occurs when the body lacks hexosaminidase A. This is a protein that helps break down a group of chemicals found in nerve tissue called gangliosides. Without this protein, gangliosides, particularly ganglioside GM2, build up in cells, often nerve cells in the brain.

Tay-Sachs disease is caused by a defective gene on chromosome 15. When both parents carry the defective Tay-Sachs gene, a child has a 25% chance of developing the disease. The child must receive two copies of the defective gene, one from each parent, in order to become sick. If only one parent passes the defective gene to the child, the child is called a carrier. They will not be sick, but may pass the disease to their own children.

Anyone can be a carrier of the Tay-Sachs gene. But, the disease is most common among people with Ashkenazi Jewish ancestry, where 1 in every 27 people carries the Tay-Sachs gene.

Tay-Sachs is divided into infantile, juvenile, and adult forms, depending on the symptoms and when they first appear. Most people with Tay-Sachs have the infantile form. In this form, the nerve damage usually begins while the baby is still in the womb. Symptoms usually appear when the child is 3 to 6 months old. The disease tends to get worse very quickly, and the child usually dies by age 4 or 5.

Late-onset Tay-Sachs disease, which affects adults, is very rare.

Symptoms

Symptoms may include any of the following:

• Deafness
• Decreased eye contact, blindness
• Decreased muscle tone (loss of muscle strength), loss of motor skills, paralysis
• Slow growth and delayed mental and social skills
• Dementia (loss of brain function)
• Increased startle reaction
• Irritability
• Listlessness
• Seizures

Exams and Tests

The health care provider will examine your baby and ask about your family history. Tests that may be done are:

• Enzyme exam of blood or body tissue for hexosaminidase levels
• Eye exam (reveals a cherry-red spot in the macula)
• Genetic testing

Treatment

There is no treatment for Tay-Sachs disease itself, only ways to make the person more comfortable.

Support Groups

The stress of illness may be eased by joining support groups whose members share common experiences and problems. The following groups can provide more information on Tay-Sachs disease:

• National Organization for Rare Disorders -- rarediseases.org/rare-diseases/tay-sachs-disease
• National Tay-Sachs and Allied Diseases Association -- www.ntsad.org
• NLM Genetics Home Reference -- ghr.nlm.nih.gov/condition/tay-sachs-disease

Outlook (Prognosis)

Children with this disease have symptoms that get worse over time. They usually die by age 4 or 5.

Possible Complications

Symptoms appear during the first 3 to 10 months of life and progress to spasticity, seizures, and loss of all voluntary movements.

When to Contact a Medical Professional

Go to the emergency room or call 911 or the local emergency number if:

• Your child has a seizure of unknown cause
• The seizure is different from previous seizures
• The child has difficulty breathing
• The seizure lasts longer than 2 to 3 minutes

Contact your provider for an appointment if your child has other noticeable behavioral changes.

Prevention

There is no known way to prevent this disorder once someone is born. Genetic testing can detect if you are a carrier of the gene for this disorder. If you or your partner is from an at-risk population, you may wish to seek genetic counseling before starting a family.

If you are already pregnant, testing the amniotic fluid can diagnose Tay-Sachs disease in the womb.

Related Information

Metabolism
Spasticity

References

Kwon JM. Neurodegenerative disorders of childhood. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 617.

Nussbaum RL, McInnes RR, Willard HF. The molecular, biochemical, and cellular basis of genetic disease. In: Nussbaum RL, McInnes RR, Willard HF, eds. Thompson & Thompson Genetics in Medicine. 8th ed. Philadelphia, PA: Elsevier; 2016:chap 12.

Wapner RJ, Dugoff L. Prenatal diagnosis of congenital disorders. In: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 32.

BACK TO TOP

Review Date: 10/13/2022  

Reviewed By: Anna C. Edens Hurst, MD, MS, Associate Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Health Content Provider 06/01/2025

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complied with the HONcode standard for trustworthy health information from 1995 to 2022, after which HON (Health On the Net, a not-for-profit organization that promoted transparent and reliable health information online) was discontinued.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2024 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.