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Lissencephaly type 3(LIS3)

MedGen UID:
369910
Concept ID:
C1969029
Disease or Syndrome
Synonym: Lissencephaly 3
SNOMED CT: Type 3 lissencephaly (1003444000)
 
Monarch Initiative: MONDO:0015148
OMIM®: 602529; 611603
Orphanet: ORPHA102011

Definition

An autosomal dominant sub-type of lissencephaly caused by mutation(s) in the TUBA1A gene, encoding adhesion tubulin alpha-1A chain. [from NCI]

Clinical features

From HPO
Cerebellar ataxia
MedGen UID:
849
Concept ID:
C0007758
Disease or Syndrome
Cerebellar ataxia refers to ataxia due to dysfunction of the cerebellum. This causes a variety of elementary neurological deficits including asynergy (lack of coordination between muscles, limbs and joints), dysmetria (lack of ability to judge distances that can lead to under- or overshoot in grasping movements), and dysdiadochokinesia (inability to perform rapid movements requiring antagonizing muscle groups to be switched on and off repeatedly).
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Intellectual disability, severe
MedGen UID:
48638
Concept ID:
C0036857
Mental or Behavioral Dysfunction
Severe mental retardation is defined as an intelligence quotient (IQ) in the range of 20-34.
Corpus callosum, agenesis of
MedGen UID:
104498
Concept ID:
C0175754
Congenital Abnormality
The corpus callosum is the largest fiber tract in the central nervous system and the major interhemispheric fiber bundle in the brain. Formation of the corpus callosum begins as early as 6 weeks' gestation, with the first fibers crossing the midline at 11 to 12 weeks' gestation, and completion of the basic shape by age 18 to 20 weeks (Schell-Apacik et al., 2008). Agenesis of the corpus callosum (ACC) is one of the most frequent malformations in brain with a reported incidence ranging between 0.5 and 70 in 10,000 births. ACC is a clinically and genetically heterogeneous condition, which can be observed either as an isolated condition or as a manifestation in the context of a congenital syndrome (see MOLECULAR GENETICS and Dobyns, 1996). Also see mirror movements-1 and/or agenesis of the corpus callosum (MRMV1; 157600). Schell-Apacik et al. (2008) noted that there is confusion in the literature regarding radiologic terminology concerning partial absence of the corpus callosum, where various designations have been used, including hypogenesis, hypoplasia, partial agenesis, or dysgenesis.
Lissencephaly
MedGen UID:
78604
Concept ID:
C0266463
Finding
A spectrum of malformations of cortical development caused by insufficient neuronal migration that subsumes the terms agyria, pachygyria and subcortical band heterotopia. See also neuropathological definitions for 2-, 3-, and 4-layered lissencephaly.
Polymicrogyria
MedGen UID:
78605
Concept ID:
C0266464
Congenital Abnormality
Polymicrogyria is a congenital malformation of the cerebral cortex characterized by abnormal cortical layering (lamination) and an excessive number of small gyri (folds).
Gray matter heterotopia
MedGen UID:
452349
Concept ID:
C0266491
Finding
Heterotopia or neuronal heterotopia are macroscopic clusters of misplaced neurons (gray matter), most often situated along the ventricular walls or within the subcortical white matter.
Hypoplasia of the corpus callosum
MedGen UID:
138005
Concept ID:
C0344482
Congenital Abnormality
Underdevelopment of the corpus callosum.
Spastic tetraplegia
MedGen UID:
98433
Concept ID:
C0426970
Disease or Syndrome
Spastic paralysis affecting all four limbs.
Cerebellar vermis hypoplasia
MedGen UID:
333548
Concept ID:
C1840379
Finding
Underdevelopment of the vermis of cerebellum.
Hypoplasia of the brainstem
MedGen UID:
334226
Concept ID:
C1842688
Finding
Underdevelopment of the brainstem.
Motor delay
MedGen UID:
381392
Concept ID:
C1854301
Finding
A type of Developmental delay characterized by a delay in acquiring motor skills.
Ventriculomegaly
MedGen UID:
480553
Concept ID:
C3278923
Finding
An increase in size of the ventricular system of the brain.
Pachygyria
MedGen UID:
504794
Concept ID:
CN001193
Finding
Pachygyria is a malformation of cortical development with abnormally wide gyri with sulci 1,5-3 cm apart and abnormally thick cortex measuring more than 5 mm (radiological definition). See also neuropathological definitions for 2-, 3-, and 4-layered lissencephaly.
Hypotonia
MedGen UID:
10133
Concept ID:
C0026827
Finding
Hypotonia is an abnormally low muscle tone (the amount of tension or resistance to movement in a muscle). Even when relaxed, muscles have a continuous and passive partial contraction which provides some resistance to passive stretching. Hypotonia thus manifests as diminished resistance to passive stretching. Hypotonia is not the same as muscle weakness, although the two conditions can co-exist.
Generalized hypotonia
MedGen UID:
346841
Concept ID:
C1858120
Finding
Generalized muscular hypotonia (abnormally low muscle tone).
Microcephaly
MedGen UID:
1644158
Concept ID:
C4551563
Finding
Head circumference below 2 standard deviations below the mean for age and gender.

Professional guidelines

PubMed

Geis T, Rödl T, Topaloğlu H, Balci-Hayta B, Hinreiner S, Müller-Felber W, Schoser B, Mehraein Y, Hübner A, Zirn B, Hoopmann M, Reutter H, Mowat D, Schuierer G, Schara U, Hehr U, Kölbel H
Orphanet J Rare Dis 2019 Jul 16;14(1):179. doi: 10.1186/s13023-019-1119-0. PMID: 31311558Free PMC Article
Yoshioka M, Higuchi Y, Fujii T, Aiba H, Toda T
Brain Dev 2008 Jan;30(1):59-67. Epub 2007 Jun 26 doi: 10.1016/j.braindev.2007.05.012. PMID: 17597323
Mori K, Shimada J, Kurisaka M, Sato K, Watanabe K
Brain Dev 1995 Sep-Oct;17(5):338-48. doi: 10.1016/0387-7604(95)00070-r. PMID: 8579221

Recent clinical studies

Etiology

Kolbjer S, Martin DA, Pettersson M, Dahlin M, Anderlid BM
Eur J Paediatr Neurol 2021 Jan;30:71-81. Epub 2021 Jan 8 doi: 10.1016/j.ejpn.2020.12.011. PMID: 33453472
van Reeuwijk J, Brunner HG, van Bokhoven H
Clin Genet 2005 Apr;67(4):281-9. doi: 10.1111/j.1399-0004.2004.00368.x. PMID: 15733261
Nabi NU, Mezer E, Blaser SI, Levin AA, Buncic JR
J AAPOS 2003 Jun;7(3):178-84. doi: 10.1016/s1091-8531(02)42005-8. PMID: 12825057
Miny P, Holzgreve W, Horst J
Childs Nerv Syst 1993 Nov;9(7):413-7. doi: 10.1007/BF00306195. PMID: 8306358
de Rijk-van Andel JF, Arts WF, Barth PG, Loonen MC
Dev Med Child Neurol 1990 Aug;32(8):707-17. doi: 10.1111/j.1469-8749.1990.tb08431.x. PMID: 2210085

Diagnosis

Liu M, Liu X, Wu J, Sha J, Zhai J, Zhang B
Medicine (Baltimore) 2023 Feb 17;102(7):e33014. doi: 10.1097/MD.0000000000033014. PMID: 36800618Free PMC Article
Yang H, Song D, Liu Y, Chen X, Zhu Y, Wei C, Fu X, Liu X, Yang Z, Xiong H
Seizure 2022 Oct;101:39-47. Epub 2022 Jul 13 doi: 10.1016/j.seizure.2022.07.008. PMID: 35863218
Friocourt G, Marcorelles P, Saugier-Veber P, Quille ML, Marret S, Laquerrière A
Acta Neuropathol 2011 Feb;121(2):149-70. Epub 2010 Nov 3 doi: 10.1007/s00401-010-0768-9. PMID: 21046408Free PMC Article
Leventer R
Handb Clin Neurol 2008;87:205-18. doi: 10.1016/S0072-9752(07)87013-8. PMID: 18809027
Miny P, Holzgreve W, Horst J
Childs Nerv Syst 1993 Nov;9(7):413-7. doi: 10.1007/BF00306195. PMID: 8306358

Therapy

Kolbjer S, Martin DA, Pettersson M, Dahlin M, Anderlid BM
Eur J Paediatr Neurol 2021 Jan;30:71-81. Epub 2021 Jan 8 doi: 10.1016/j.ejpn.2020.12.011. PMID: 33453472
Murphy LB, Schreiber-Katz O, Rafferty K, Robertson A, Topf A, Willis TA, Heidemann M, Thiele S, Bindoff L, Laurent JP, Lochmüller H, Mathews K, Mitchell C, Stevenson JH, Vissing J, Woods L, Walter MC, Straub V
Ann Clin Transl Neurol 2020 May;7(5):757-766. Epub 2020 Apr 28 doi: 10.1002/acn3.51042. PMID: 32342672Free PMC Article
Thammongkol S, Vears DF, Bicknell-Royle J, Nation J, Draffin K, Stewart KG, Scheffer IE, Mackay MT
Epilepsia 2012 Mar;53(3):e55-9. Epub 2012 Feb 6 doi: 10.1111/j.1528-1167.2011.03394.x. PMID: 22310062
Yoshioka M, Higuchi Y, Fujii T, Aiba H, Toda T
Brain Dev 2008 Jan;30(1):59-67. Epub 2007 Jun 26 doi: 10.1016/j.braindev.2007.05.012. PMID: 17597323
de Rijk-van Andel JF, Arts WF, Barth PG, Loonen MC
Dev Med Child Neurol 1990 Aug;32(8):707-17. doi: 10.1111/j.1469-8749.1990.tb08431.x. PMID: 2210085

Prognosis

Kolbjer S, Martin DA, Pettersson M, Dahlin M, Anderlid BM
Eur J Paediatr Neurol 2021 Jan;30:71-81. Epub 2021 Jan 8 doi: 10.1016/j.ejpn.2020.12.011. PMID: 33453472
ENSO Working Group
Ultrasound Obstet Gynecol 2020 Sep;56(3):340-347. doi: 10.1002/uog.21974. PMID: 31917496
Kato M, Dobyns WB
Hum Mol Genet 2003 Apr 1;12 Spec No 1:R89-96. doi: 10.1093/hmg/ddg086. PMID: 12668601
Cardoso C, Leventer RJ, Matsumoto N, Kuc JA, Ramocki MB, Mewborn SK, Dudlicek LL, May LF, Mills PL, Das S, Pilz DT, Dobyns WB, Ledbetter DH
Hum Mol Genet 2000 Dec 12;9(20):3019-28. doi: 10.1093/hmg/9.20.3019. PMID: 11115846
Dobyns WB, Stratton RF, Greenberg F
Am J Med Genet 1984 Jul;18(3):509-26. doi: 10.1002/ajmg.1320180320. PMID: 6476009

Clinical prediction guides

Kolbjer S, Martin DA, Pettersson M, Dahlin M, Anderlid BM
Eur J Paediatr Neurol 2021 Jan;30:71-81. Epub 2021 Jan 8 doi: 10.1016/j.ejpn.2020.12.011. PMID: 33453472
ENSO Working Group
Ultrasound Obstet Gynecol 2020 Sep;56(3):340-347. doi: 10.1002/uog.21974. PMID: 31917496
Nabi NU, Mezer E, Blaser SI, Levin AA, Buncic JR
J AAPOS 2003 Jun;7(3):178-84. doi: 10.1016/s1091-8531(02)42005-8. PMID: 12825057
Kato M, Dobyns WB
Hum Mol Genet 2003 Apr 1;12 Spec No 1:R89-96. doi: 10.1093/hmg/ddg086. PMID: 12668601
Cardoso C, Leventer RJ, Matsumoto N, Kuc JA, Ramocki MB, Mewborn SK, Dudlicek LL, May LF, Mills PL, Das S, Pilz DT, Dobyns WB, Ledbetter DH
Hum Mol Genet 2000 Dec 12;9(20):3019-28. doi: 10.1093/hmg/9.20.3019. PMID: 11115846

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