Mice lacking K+-Cl cotransporter 2 (KCC2; also known as SLC12A5) have seizures. Investigating possible KCC2 mutations in human families with seizure disorders, the authors identified a variant, KCC2-R952H, that was associated with febrile seizures. Mouse cortical neurons transfected with KCC2-R952H showed deficient Cl extrusion and reduced surface expression of the transporter. In vitro experiments showed that the variant impairs the role of KCC2 in dendritic spine formation. These findings provide a potential molecular basis for KCC2-R952H-induced susceptibility to seizures.