Presentation
In the variants of classical lissencephaly, extra-cortical anomalies are also present (total or subtotal agenesis of the corpus callosum and/or cerebellar hypoplasia). [orpha.net]
A neonatal case of provisional neurocutaneous melanosis presenting with lissencephaly is reported. Several congenital nevi were observed on the trunk and extremities of the infant, including a giant congenital hairy nevus over the skull. [ncbi.nlm.nih.gov]
Entire Body System
- Feeding Difficulties
difficulties, growth retardation, impaired motor activity Miller, James Q., U.S. physician. [medical-dictionary.thefreedictionary.com]
Clinical manifestations include swallowing and feeding difficulties, abnormal muscular tone, seizures and severe to profound psychomotor retardation. [orpha.net]
Some of the additional common signs and symptoms of lissencephaly are listed below: Feeding difficulties Intellectual deficits Failure to flourish and thrive Irregular appearance of the face Swallowing problems Malformed toes, fingers, and/or hands. [doctordecides.com]
Treatment may include measures to improve the intake of nutrients in infants with feeding difficulties; the administration of anticonvulsant drugs to help prevent, reduce, or control seizures; and/or other measures. [rarediseases.org]
Feeding difficulties are treated with a gastrostomy tube. Respiratory problems are the most common causes of death. [secure.ssa.gov]
- Falling
Structural data show that mutations can fall either in surface residues, likely to impair partner interactions, or in buried residues, likely to impair protein stability. [ncbi.nlm.nih.gov]
Careful positioning of the head to prevent it falling to the side or falling forward can help a lot. Infants and young children need to learn about the world around them. [ssc.education.ed.ac.uk]
This is still true even when a condition falls under the CAL program. The diagnosis of Lissencephaly alone is not enough to substantiate disability. [disability-benefits-help.org]
- Lymphedema
INHERITANCE* % GENE COVERAGE (20X) HGMD** ACTB Baraitser-Winter Syndrome, Juvenile-Onset Dystonia, Developmental Malformations- Deafness-Dystonia Syndrome AD 100 40 of 40 ACTG1 Baraitser-Winter Syndrome AD 98.59 55 of 55 ADAMTS3 Hennekam Lymphangiectasia- Lymphedema [igenomix.es]
A sibship with a neuronal migration defect, cerebellar hypoplasia and congenital lymphedema. Neuropediatrics 24, 43–46 ( 1993). 15 DeSilva, U. et al. The human reelin gene: isolation, sequencing, and mapping on chromosome 7. [doi.org]
- Hypothermia
Males with this form of X-linked lissencephaly also can show a lack of development (agenesis) of the tissue connecting the left and right halves of the brain (corpus callosum), low body temperature (hypothermia), and chronic diarrhea. [ourlilytree.blogspot.com]
Gastrointestinal
- Failure to Thrive
Symptoms of the disorder may include unusual facial appearance, difficulty swallowing, failure to thrive, muscle spasms, seizures, and severe psychomotor retardation. Hands, fingers, or toes may be deformed. [ninds.nih.gov]
Possible symptoms of lissencephaly include: Failure to thrive: Failure to thrive is a condition often seen in newborns in which growth is not occurring as expected. It can have many causes. [rarediseases.about.com]
Musculoskeletal
- Muscle Spasticity
Children who are born with lissencephaly suffer from severe motor impairment, seizures, muscle spasticity, muscle hypotonia, facial abnormalities, difficulty swallowing, abnormalities of the limbs, fingers and toes and failure to thrive. [disabilitybenefitscenter.org]
They usually present with seizures, muscle spasticity, low muscle tone and a number of other neurological symptoms. [disability-benefits-help.org]
Lissencephaly Symptoms Children affected by this disorder may display various symptoms like: Ataxia Seizures Microcephaly Failure to thrive Difficulty in swallowing Unusual facial appearance Hypotonia or muscle spasticity Severe psychomotor retardation [hxbenefit.com]
- Long Arm
Another 12% of persons with ILS have a mutation in a gene called XLIS (or DCX), located on the long arm of the X chromosome. [ourlilytree.blogspot.com]
- Muscle Hypotonia
Children who are born with lissencephaly suffer from severe motor impairment, seizures, muscle spasticity, muscle hypotonia, facial abnormalities, difficulty swallowing, abnormalities of the limbs, fingers and toes and failure to thrive. [disabilitybenefitscenter.org]
Face, Head & Neck
- Short Nose
nose with upturned nostrils; low-set, malformed ears; polydactyly; abnormal palmar creases; cataracts and/or malformations of the heart, kidneys and/or other organs. [rarediseases.org]
The facial changes consist of prominent forehead, bitemporal hollowing, short nose with upturned nares, flat midface, protuberant upper lip with thin vermillion border and small jaw. [doi.org]
The facial changes consist of high and prominent forehead, bitemporal hollowing, short nose with upturned nares, protuberant upper lip with downturned vermilion border, and small jaw ( Figure 2 ). [ncbi.nlm.nih.gov]
Psychiatrical
- Psychomotor Retardation
Symptoms of the disorder may include unusual facial appearance, difficulty swallowing, failure to thrive, muscle spasms, seizures, and severe psychomotor retardation. Hands, fingers, or toes may be deformed. [ninds.nih.gov]
Background: Lissencephaly is a brain malformation caused by defective neuronal migration and characterized by epilepsy and severe psychomotor retardation, with high mortality. [scielo.conicyt.cl]
MR imaging of a patient with epilepsy and psychomotor retardation at 5 months revealed parieto-occipital pachygyria with almost normal cortical appearance and thickness in the frontal region; this appearance evolved into diffuse pachygyria at 7 years. [ncbi.nlm.nih.gov]
Clinical description Children with lissencephaly have feeding and swallowing problems, muscle tone anomalies (early hypotonia and subsequently limb hypertonia), seizures (in particular, infantile spasms) and severe psychomotor retardation. [orpha.net]
Urogenital
- Cryptorchidism
All the reported patients with lissencephaly are males who presented with a posterior-to-anterior gradient, moderately increased thickness of the brain cortex, agenesis of corpus callosum, micropenis, and cryptorchidism. [ncbi.nlm.nih.gov]
Associated systemic findings include cerebellar malformations and posterior encephaloceles, hydrocephalus and ventricular dilation, profound mental retardation, cleft lip and palate, small testes and cryptorchidism, imperforate anus. [2] [10] [11] In [eyewiki.aao.org]
In addition, affected males can have an unusually small penis (micropenis), undescended testes (cryptorchidism), or external genitalia that do not look clearly male or clearly female (ambiguous genitalia). [ourlilytree.blogspot.com]
Neurologic
- Seizure
In dogs it has been associated with behavioral abnormalities, visual deficits, ataxia and seizures. Called also agyria. [medical-dictionary.thefreedictionary.com]
Seizures may be particularly problematic but anticonvulsant medications can help. [ninds.nih.gov]
[…] muscle jerks (myoclonic seizures); and episodes of muscle rigidity, convulsions, and loss of consciousness (tonic-clonic seizures). [ghr.nlm.nih.gov]
EEG showed disorganized background activity and seizures starting at the right midtemporal, central and occipital regions. [ncbi.nlm.nih.gov]
- Generalized Tonic-Clonic Seizure
Later in infancy the epileptogentic phenotype became more variable and included different forms of focal seizures as well generalized as tonic-clonic seizures, with generalized tonic-clonic seizures being the predominant type. [ncbi.nlm.nih.gov]
A case of marked fetal movements suggestive of prenatal seizures was described by Uyanik et al. 7. Tonic, multifocal myoclonic and generalized tonic-clonic seizures have been reported 3,7. [scielo.br]
- Myoclonus
Clinodactylia a kezeken Idegrendszer Mentális retardatio Komplex parciális roham kezdettől tudatzavarral Tónusos - clonusos ( GM) rohamok Alsó végtagi rigiditás mindkét oldalon {S-}Hypotoniás izomzat {S-}Hypotoniás nyakizomzat Mozgás automatizmusok Myoclonus [drdiag.hu]
- Focal Seizure
Later in infancy the epileptogentic phenotype became more variable and included different forms of focal seizures as well generalized as tonic-clonic seizures, with generalized tonic-clonic seizures being the predominant type. [ncbi.nlm.nih.gov]
Workup
EEG
- Hypsarrhythmia
Approximately 80% have infantile spasms, although the EEG does not always show the typical hypsarrhythmia pattern. The onset of infantile spasms may be associated with a decline in function. [ncbi.nlm.nih.gov]
Treatment
Management and treatment Management is symptomatic only (swallowing problems require adapted feeding to prevent food aspiration, articular and respiratory physiotherapy to prevent orthopaedic problems resulting from hyptonia, and treatment of gastrooesophageal [orpha.net]
If feeding becomes difficult, a gastrostomy tube may be considered. × Treatment There is no cure for lissencephaly, but children can show progress in their development over time. [ninds.nih.gov]
Thus, SNJ1945 is a potential drug for the treatment of human lissencephaly patients. [ncbi.nlm.nih.gov]
Prognosis
Prognosis The prognosis for children with lissencephaly depends on the degree of brain malformation. Many will die before the age of 10 years. The cause of death is usually aspiration of food or fluids, respiratory disease, or severe seizures. [ninds.nih.gov]
After receiving genetic counseling, the parents elected to terminate the pregnancies based on the neuroradiological findings and the associated severe prognosis. [ncbi.nlm.nih.gov]
Etiology
LISI and DCX) has allowed etiologic diagnosis of this disorder feasible. [ncbi.nlm.nih.gov]
Etiology Visible and submicroscopic deletions of 17p13.3, including the LIS1 gene, are found in almost 100% of patients. Management and treatment Management of children with MDS is symptomatic. [orpha.net]
Epidemiology
Summary Epidemiology The incidence of all forms of type I lissencephaly is around 1 in 100,000 births. [orpha.net]
Epidemiology of lissencephaly type I. Neuroepidemiology 1991;10:200-4. 3. Malinger G, Lev D, Zahalka N, Ben Aroia Z, Watemberg N, Kidron D, et al. Fetal cytomegalovirus infection of the brain: The spectrum of sonographic findings. [doi.org]
Pathophysiology
Using routine immunohistochemistry and confocal microscopy, we show evidence for defects in axonal transport in addition to defects in neuronal migration and differentiation, giving new insights to the pathophysiology of this form of lissencephaly. [ncbi.nlm.nih.gov]
Role of cytoskeletal abnormalities in the neuropathology and pathophysiology of type I lissencephaly. Acta Neuropathol. 2011 Feb;121(2):149-70. doi: 10.1007/s00401-010-0768-9. Epub 2010 Nov 3. Review. Guerrini R, Parrini E. [ghr.nlm.nih.gov]
Prevention
Management and treatment Management is symptomatic only (swallowing problems require adapted feeding to prevent food aspiration, articular and respiratory physiotherapy to prevent orthopaedic problems resulting from hyptonia, and treatment of gastrooesophageal [orpha.net]
Lissencephaly, a disorder that affects a baby’s brain in preventing it from developing folds or grooves. A baby with Lissencephaly will be very smoothed while lacking wrinkles. [cbdreviews.net]