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Living with MASA syndrome

An inherited condition on the X chromosome with learning difficulties, delayed speech, and stiff muscles that affects mostly boys.

Understanding MASA syndrome

MASA syndrome is an X-linked condition and a subtype of L1 syndrome, with intellectual disability, delayed speech, and muscle stiffness.

It includes mild to moderate intellectual disability, delayed speech, low muscle tone that becomes stiffness (spasticity), thumbs turned into the palm (adducted thumbs), and mildly enlarged fluid spaces in the brain. It is present from birth.

Signs & symptoms

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

  • Intellectual disability
  • Delayed speech
  • Stiff leg muscles (spastic paraplegia)
  • Abnormal gait
  • Thumbs turned into the palm
  • Short stature

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 and genetic specialists.

  3. Consider genetic testing

    Changes in L1CAM 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

    Spastic Paraplegia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Spastic Paraplegia 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 Spastic Paraplegia Foundation
  • 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
Should we have L1CAM genetic testing for our family?
Which therapies help with speech and muscle stiffness?
How should the enlarged brain fluid spaces be monitored?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked
GenesL1CAM

Changes in the L1CAM gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurological

Also known as: gareis-mason syndrome; hereditary spastic paraplegia 1; intellectual disability-aphasia-shuffling gait-adducted thumbs syndrome; intellectual disability, aphasia, shuffling gait, adducted thumbs syndrome; masa (mental retardation, adducted thumbs, shuffling gait, aphasia) syndrome; masa syndrome (mental retardation, adducted thumbs, shuffling gait, and aphasia)

Patient organizations

Broader rare-disease groups

Source: NIH GARD · MASA syndromeGARD ID 6986 · 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 MASA syndrome.

Explore the MASA syndrome blog

Explore research for MASA syndrome

Explore actively recruiting MASA syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for MASA syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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