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Living with Cobblestone lissencephaly without muscular or ocular involvement

A rare genetic brain condition with several brain differences, severe developmental delay, and seizures, with little or no muscle or eye involvement.

Understanding Cobblestone lissencephaly without muscular or ocular involvement

Cobblestone lissencephaly without muscular or ocular involvement is a rare genetic condition with a group of brain malformations.

Brain differences include changes in the folds of the brain surface, white matter changes, and an underdeveloped cerebellum and brainstem. Muscle and eye involvement is minimal or absent. People typically have severe developmental delay, a larger head, hydrocephalus (extra fluid in the brain), and seizures. GARD lists onset in infancy and childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Severe developmental delay
  • Brain white matter differences
  • Small brainstem
  • Brain tissue pushing out through the back of the skull
  • Optic nerve shrinkage
  • Seizures

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in LAMB1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Child Neurology Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can LAMB1 genetic testing confirm the diagnosis?
How should hydrocephalus and seizures be monitored?
Which therapies can support development?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesLAMB1

GARD says changes in the LAMB1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: cobblestone lissencephaly without muscular or eye involvement; leukoencephalopathy with variable cortical brain malformations and/or hydrocephalus; lissencephaly 5; lissencephaly type 2 without muscular or eye involvement; lissencephaly type 2 without muscular or ocular involvement; lissencephaly type 5

Patient organizations

Source: NIH GARD · Cobblestone lissencephaly without muscular or ocular involvementGARD ID 17526 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Cobblestone lissencephaly without muscular or ocular involvement.

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