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Syndrome reference sheet
Generated 13 Oct 2026
Neurology · Neurology / Movement disorders; Neurogenetics Hereditary spastic paraplegia type 1
Also known as: L1 syndrome; MASA syndrome; SPG1
X-linked complicated hereditary spastic paraplegia within the L1 syndrome spectrum.
- Medical specialty
- Neurology
- Subspecialty
- Neurology / Movement disorders; Neurogenetics
- Sex & age distribution
- Male: affected, nearly all; Female: carriers usually unaffected or mild; Children: yes, congenital
- Gene(s) involved
- L1CAM
Etiology & mechanism
Mutations in the L1 cell adhesion molecule impair axon guidance and corticospinal development.
Gene(s) involved (1)
L1CAM
Symptoms & signs (4)
adducted thumbshydrocephalusintellectual disabilityspastic paraparesis