raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:452

X-linked lissencephaly with abnormal genitalia

Synonyms: X-linked lissencephaly with ambiguous genitalia · X-linked lissencephaly-corpus callosum agenesis-genital anomalies syndrome · XLAG (X-linked lissencephaly with abnormal genitalia) syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by lissencephaly, agenesis of the corpus callosum and other cerebral structural anomalies, early-onset intractable seizures, and ambiguous genitalia. Consequences of hypothalamic dysfunction, such as disturbed temperature regulation, may be observed. Additional anomalies including dysmorphic craniofacial features have been reported. The disease is fatal in infancy or childhood in males, while female carriers may be unaffected or show a milder phenotype with developmental delay, behavioral abnormalities, and seizures.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked lissencephaly with abnormal genitaliaX-linked lissencephaly with ambiguous genitalia · X-linked lissencephaly-corpus callosum agenesis-genital anomalies syndrome · XLAG (X-linked lissencephaly with abnormal genitalia) syndrome
frLissencéphalie liée à l'X avec anomalies génitalesLissencéphalie liée à l'X avec ambiguïtés génitales · Syndrome XLAG (Lissencéphalie liée à l'X avec anomalies génitales) · Syndrome de lissencéphalie liée à l'X-agénésie du corps calleux-anomalies génitales
deX-chromosomale Lissenzephalie mit GenitalanomalienLissenzephalie, X-chromosomale - Corpus-callosum-Agenesie - Genitalanomalien · XLAG-Syndrom
esLisencefalia ligada al cromosoma X con anomalías genitalesLisencefalia ligada al cromosoma X con genitales ambiguos · Lisencefalia ligada al cromosoma X-agenesia del cuerpo calloso-anomalías genitales · Síndrome XLAG (lisencefalia ligada al cromosoma X con anomalías genitales)
itLissencefalia legata all'X con genitali ambiguiLissencefalia legata all'X - agenesia del corpo calloso - anomalie genitali · Lissencefalia legata all'X con ambiguità genitale · Sindrome XLAG (lissencefalia legata all'X con genitali ambigui)
nlX-gebonden lissencefalie met abnormale genitaliënX-gebonden lissencefalie - agenesie van het corpus callosum - genitale anomalieën-syndroom · X-gebonden lissencefalie met ambigue genitaliën · XLAG (X-gebonden lissencefalie met abnormale genitaliën)-syndroom
ptLisencefalia ligada ao X com anomalias genitaisLisencefalia ligada ao X-agenesia do corpo caloso-anomalias genitais
plLizencefalia sprzężona z chromosomem X z nieprawidłowymi narządami płciowymiLizencefalia sprzężona z chromosomem X - agnezja ciała modzelowatego - anomalie narządów płciowych · Lizencefalia sprzężona z chromosomem X z obojnaczymi narządami płciowymi · Zespół XLAG (Lizencefalia sprzężona z chromosomem X z nieprawidłowymi narządami płciowymi)
csX-vázaná lisencefalie s abnormálními genitáliemiSyndrom zahrnující X-vázanou lisencefalii, agenezi corpus callosum a anomálie genitálu · XLAG (X-vázaná lisencefalie s abnormálními genitáliemi) syndrom · X-vázaná lisencefalie s nejednoznačnými genitáliemi
ukХ-зчеплена ліссенцефалія з аномальними геніталіямиСиндром XLAG (Х-зчеплена ліссенцефалія з аномальними геніталіями) · Х-зчеплена ліссенцефалія з неоднозначними геніталіями · Х-зчеплений синдром агенезії ліссенцефалії-генезії мозолистого тіла-генітальних аномалій
zhX连锁无脑回畸形伴外生殖器畸形X-连锁无脑回畸形-胼胝体发育迟缓-生殖器异常综合征
trAnormal genital ile seyreden X'e bağlı lizensefaliBelirsiz cinsel organla ile seyreden X'e bağlı lizensefali · XLAG (anormal genital yapıya sahip X'e bağlı lizensefali) sendromu · X'e bağlı lizensefali-korpus kallozum agenezisi-genital anomaliler sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300215Evalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LD20.1NTBTindexvalidated
MONDO0010268Evalidated
MeSHC564563Evalidated
UMLSC1846171Evalidated
GARD12491Evalidated

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

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ARXDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:18060ENSG00000004848300382Xp21.3aristaless related homeobox12379852[PMID]_12874405[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 familiesWorldwideFamily(ies)Validated17480217[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_17480217[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

21 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001274Agenesis of corpus callosum
HP:0000062Ambiguous genitalia
HP:0000028Cryptorchidism
HP:0001263Global developmental delay
HP:0008736Hypoplasia of penis
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0001302Pachygyria
HP:0001250Seizure
Frequent (79-30%)
HP:0001522Death in infancy
HP:0000966Hypohidrosis
HP:0001252Hypotonia
HP:0002024Malabsorption
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0002251Aganglionic megacolon
HP:0001738Exocrine pancreatic insufficiency
HP:0000347Micrognathia
HP:0001643Patent ductus arteriosus
HP:0011220Prominent forehead
HP:0001257Spasticity
HP:0001629Ventricular septal defect

Run the differential on the 9 obligate / very frequent terms

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Sources for this card