raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2182

Hydrocephalus with stenosis of the aqueduct of Sylvius

Synonyms: Bickers-Adams syndrome · HSAS · X-linked HSAS · X-linked acqueductal stenosis · X-linked hydrocephalus · X-linked hydrocephalus with stenosis of aqueduct of Sylvius

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Neonatal
Status
active

A congenital, X-linked, clinical subtype of L1 syndrome characterized by severe hydrocephalus often of prenatal onset, adducted thumbs, spasticity (mostly evidenced by brisk tendon reflexes and extensor plantar responses) and moderate to severe intellectual disability. This subtype represents the severe end of the L1 syndrome spectrum and is associated with poor prognosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHydrocephalus with stenosis of the aqueduct of SylviusBickers-Adams syndrome · HSAS · X-linked HSAS · X-linked acqueductal stenosis · X-linked hydrocephalus · X-linked hydrocephalus with stenosis of aqueduct of Sylvius
frHydrocéphalie avec sténose de l'aqueduc de SylviusHSAS · HSAS liée à l'X · Hydrocéphalie avec sténose de l'aqueduc de Sylvius liée à l'X · Hydrocéphalie liée à l'X · Syndrome de Bickers-Adams
deHydrozephalus mit Stenose des Aquaeductus SylviiAquäduktstenose, X-chromosomale · Bickers-Adams-Syndrom · HSAS · HSAS, X-chromosomal · Hydrozephalus, X-chromosomaler · X-chromosomaler Hydrozephalus mit Aquäduktstenose
esHidrocefalia con estenosis del acueducto de SilvioEstenosis del acueducto ligada al cromosoma X · HSAS · HSAS ligada al cromosoma X · Hidrocefalia ligada al cromosoma X · Hidrocefalia ligada al cromosoma X con estenosis del acueducto de Silvio · Síndrome de Bickers-Adams
itIdrocefalo con stenosi dell'acquedotto di SilvioHSAS · HSAS legato all'X · Idrocefalo legato all'X · Idrocefalo legato all'X con stenosi dell'acquedotto di Silvio · Sindrome di Bickers-Adams · Stenosi acqueduttale legata all'X
nlHydrocefalus met stenose van aquaduct van SylviusHSAS · Syndroom van Bickers-Adams · X-gebonden HSAS · X-gebonden aquaductale stenose · X-gebonden hydrocefalus · X-gebonden hydrocefalus met stenose van aquaduct van Sylvius
ptHidrocéfalo com estenose do aqueduto de SylviusEstenose do aqueduto de Sylvius ligada ao X · Hidrocefalia ligada ao X
plWodogłowie ze zwężeniem wodociągu SylwiuszaHSAS · HSAS sprzeżony z chromosomem X · Wodogłowie sprzężone z chromosomem X · Wodogłowie ze zwężeniem wodociągu Sylwiusza sprzężone z chromosomem X · Zespół Bickersa i Adamsa · Zwężenie wodociągu sprzężone z chromosomem X
csHydrocefalus se stenózou Sylviova mokovoduHSAS · X-vázaný HSAS · X-vázaná stenóza mokovodu · X-vázaný hydrocefalus · X-vázaný hydrocefalus se stenózou Sylviova mokovodu · Bickersův-Adamsův syndrom · Bickers-Adamsův syndrom
ukГідроцефалія зі стенозом сільвієва водопроводуСиндром Бікерса-Адамса · HSAS · Х-зчеплений акведуковий стеноз · Х-подібна система HSAS · Х-зчеплена гідроцефалія · Х-зчеплена гідроцефалія зі стенозом акведуку Сильвія
zh脑积水伴中脑导水管狭窄X连锁中脑导水管狭窄
trSylvius kanalının stenoz ile seyreden hidrosefalisiHSAS · X'e bağlı HSAS · Bickers-Adams sendromu · X'e bağlı hidrosefali · X'e bağlı akueduktal stenoz · Sylvius akuadukt stenozu ile seyreden X'e bağlı hidrosefali

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM307000Evalidated
ICD-10Q03.0NTBTinclusionvalidated
ICD-11LA04.0Especificvalidated
MONDO0010611Evalidated
MeSHC536078Evalidated
UMLSC0265216Evalidated
GARD434Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

  • ORPHA:275543L1 syndrome
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare neurological diseases

No children.

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Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
L1CAMDisease-causing germline mutation(s) inAssessedHGNC:6470ENSG00000198910308840Xq28L1 cell adhesion molecule20301657[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001.7 / 100 000WorldwideValue and classNot yet validated22344793[PMID]_20301657[PMID]
Point prevalence1-9 / 100 0001.7 / 100 000WorldwideValue and classNot yet validated22344793[PMID]_20301657[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

15 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002410Aqueductal stenosis
HP:0004374Hemiplegia/hemiparesis
HP:0000238Hydrocephalus
HP:0002516Increased intracranial pressure
HP:0010864Intellectual disability, severe
HP:0001257Spasticity
Frequent (79-30%)
HP:0001181Adducted thumb
Occasional (29-5%)
HP:0001331Absent septum pellucidum
HP:0001274Agenesis of corpus callosum
HP:0000280Coarse facial features
HP:0001360Holoprosencephaly
HP:0001387Joint stiffness
HP:0000639Nystagmus
HP:0001250Seizure
HP:0000486Strabismus

Run the differential on the 6 obligate / very frequent terms

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Sources for this card