raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:275543

L1 syndrome

Synonyms: CRASH syndrome · Corpus callosum hypoplasia-retardation-adducted thumbs-spasticity-hydrocephalus syndrome · L1CAM syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare, congenital X-linked developmental disorder characterized by hydrocephalus of varying degrees of severity, intellectual deficit, spasticity of the legs, and adducted thumbs. The syndrome represents a spectrum of disorders including: X-linked hydrocephalus with stenosis of the aqueduct of Sylvius (HSAS), MASA syndrome, X-linked complicated hereditary spastic paraplegia type 1, and X-linked complicated corpus callosum agenesis.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enL1 syndromeCRASH syndrome · Corpus callosum hypoplasia-retardation-adducted thumbs-spasticity-hydrocephalus syndrome · L1CAM syndrome
frSyndrome L1Syndrome CRASH · Syndrome L1CAM
deL1-SyndromCRASH-Syndrom · Corpus callosum-Agenesie-Intelligenzminderung-Adduzierte Daumen-Spastische Paraplegie-Hydrozephalus-Syndrom · L1CAM-Syndrom
esSíndrome L1Síndrome CRASH · Síndrome L1CAM · Síndrome de hipoplasia del cuerpo calloso-retraso-pulgares en aducción-espasticidad-hidrocefalia
itSindrome L1Sindrome CRASH · Sindrome L1CAM · Sindrome ipoplasia del corpo calloso-ritardo-pollici addotti-spasticità-idrocefalo
nlL1-syndroomCRASH-syndroom · Hypoplasie van het corpus callosum - retardatie - geadduceerde duimen - spasticiteit - hydrocefalus-syndroom · L1CAM-syndroom
ptSíndrome de L1
plZespół L1Zespół CRASH · Zespół hipoplazja ciała modzelowatego-opóźnienie-przywiedzione kciuki-spastyczność wodogłowie · Zespół L1CAM
csL1 syndromCRASH syndrom · Syndrom zahrnující hypoplázii corpus callosum, mentální retardaci, addukované palce na rukou, spasticitu a hydrocefalus · L1CAM syndrom
ukСиндром L1Гіпоплазія мозолистого тіла-відставання в рості-зростання великих пальців-спастичність-гідроцефальний синдром · CRASH-синдром · Синдром L1CAM
zhL1综合征胼胝体发育不全-发育迟缓-拇指内收-痉挛-脑积水综合征
trL1 sendromuCRASH sendromu · L1CAM sendromu · Korpus kallozum hipoplazisi-retardasyon-addukte başparmaklar-spastisite-hidrosefali sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM303350BTNTvalidated
OMIM304100BTNTvalidated
OMIM307000BTNTvalidated
ICD-10Q04.8NTBTattributedvalidated
ICD-11LD90.YNTBTindexvalidated
MONDO0017140Evalidated
UMLSC5779710Evalidated
GARD12524Evalidated

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 (3):

Children (4):

4

Genes

0 direct · 4 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
L1CAMORPHA:1497X-linked complicated corpus callosum dysgenesisDisease-causing germline mutation(s) inAssessedHGNC:6470ENSG00000198910308840Xq28L1 cell adhesion molecule20301657[PMID]
L1CAMORPHA:2182Hydrocephalus with stenosis of the aqueduct of SylviusDisease-causing germline mutation(s) inAssessedHGNC:6470ENSG00000198910308840Xq28L1 cell adhesion molecule20301657[PMID]
L1CAMORPHA:2466MASA syndromeDisease-causing germline mutation(s) inAssessedHGNC:6470ENSG00000198910308840Xq28L1 cell adhesion molecule20301657[PMID]
L1CAMORPHA:306617X-linked complicated spastic paraplegia type 1Disease-causing germline mutation(s) inAssessedHGNC:6470ENSG00000198910308840Xq28L1 cell adhesion molecule20301657[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

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HPO phenotypes

16 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002410Aqueductal stenosis
HP:0000716Depression
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0002315Headache
HP:0004374Hemiplegia/hemiparesis
HP:0000238Hydrocephalus
HP:0001347Hyperreflexia
HP:0001249Intellectual disability
HP:0002463Language impairment
HP:0002017Nausea and vomiting
HP:0001257Spasticity
Frequent (79-30%)
HP:0001181Adducted thumb
Occasional (29-5%)
HP:0002251Aganglionic megacolon
HP:0001250Seizure
HP:0003202Skeletal muscle atrophy

Run the differential on the 12 obligate / very frequent terms

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Sources for this card