A gene responsible for X‐linked mental retardation with macrocephaly and seizures (MRX38) in a family with five affected males in three generations was localized to Xp21.1–‐p22.13 by linkage analysis. Recombination events placed the gene between DXS1226 distally and DXS1238 proximally, defining an interval of approximately 14 cM. A peak lod score of 2.71 was found with several loci in Xp21.1 (DXS992, DXS1236, DXS997, and DXS1036) at a recombination fraction of zero. The map intervals of 5 X‐linked mental retardation loci, MRX2 (Xp22.1–p22.2), MRX19 (Xp22), MRX21 (Xp21.1–p22.3), MRX29 (Xp21.2–p22.1), and MRX32 (Xp21.2–p22.1), and two syndromal mental retardation loci, Partington syndrome (PRTS; Xp22) and Coffin‐Lowry syndrome (CLS; Xp22.13–p22.2), overlap this region. As none of these display the same phenotype seen in the family reported here, this X‐linked mental retardation locus may represent a new entity. © 1996 Wiley‐Liss, Inc.