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Living with Lissencephaly due to LIS1 mutation

A brain development condition with a smooth brain surface, developmental delay, and seizures, caused by a LIS1 gene change.

Understanding Lissencephaly due to LIS1 mutation

Lissencephaly due to LIS1 mutation is a brain disorder in which the brain develops a smooth surface because nerve cells did not fully move into place.

It is mainly at the back of the brain. It comes with developmental delay and intellectual disability. Epilepsy usually changes from West syndrome to Lennox-Gastaut syndrome. Other features are low muscle tone, a small head that grows slowly, and poor weight gain. Poor airway control can lead to aspiration pneumonia.

Signs & symptoms

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

  • Smooth brain surface (agyria and pachygyria)
  • Severe intellectual disability
  • Seizures
  • Delayed sitting
  • Low muscle tone (hypotonia)
  • Small head (microcephaly)

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 PAFAH1B1 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
Would PAFAH1B1 gene testing help our family?
Which treatments can help control seizures?
How can we lower the risk of aspiration pneumonia?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesPAFAH1B1

It is caused by changes in the PAFAH1B1 (LIS1) gene. It is listed as autosomal dominant, which means one changed copy of the gene is enough.

GeneticNeurological

Also known as: isolated lissencephaly sequence; lis1; pafah1b1 (platelet activating factor acetylhydrolase 1b regulatory subunit 1) related lissencephaly; pafah1b1-related lissencephaly

Patient organizations

Source: NIH GARD · Lissencephaly due to LIS1 mutationGARD ID 16838 · 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 Lissencephaly due to LIS1 mutation.

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