Overview
Cobblestone lissencephaly without muscular or ocular involvement is an extremely rare brain malformation that is present from birth. In this condition, the surface of the brain has an abnormal bumpy or 'cobblestone' appearance instead of the normal smooth folds. This happens because during early brain development, brain cells (neurons) migrate too far and push through the surface of the brain, creating an irregular, cobblestone-like texture. Unlike related conditions such as Walker-Warburg syndrome or muscle-eye-brain disease, this form does not come with significant muscle problems (muscular dystrophy) or eye abnormalities. However, the brain malformation itself can cause significant neurological problems. Children with this condition typically experience intellectual disability, developmental delays, and seizures. The severity can vary from person to person, but most affected individuals have notable difficulties with learning, speech, and motor skills. Some children may also have a smaller-than-expected head size (microcephaly). There is currently no cure for this condition. Treatment focuses on managing symptoms, particularly controlling seizures with anti-epileptic medications, and providing supportive therapies such as physical therapy, occupational therapy, and speech therapy to help children reach their maximum potential. Early intervention programs are important to support development during the critical early years of life.
Also known as:
Key symptoms:
Intellectual disabilityDevelopmental delaysSeizures or epilepsyDelayed speech and languageDelayed motor milestones like sitting and walkingSmall head size (microcephaly)Abnormal muscle tone (too stiff or too floppy)Difficulty with coordination and balanceLearning difficultiesFeeding difficulties in infancyBehavioral challenges
Clinical phenotype terms (13)— hover any for plain English
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Neonatal
Begins at or shortly after birth (first 4 weeks)
Treatments
No FDA-approved treatments are currently listed for Cobblestone lissencephaly without muscular or ocular involvement.
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Specialists
View all specialists →No specialists are currently listed for Cobblestone lissencephaly without muscular or ocular involvement.
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to Cobblestone lissencephaly without muscular or ocular involvement.
Community
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Caregiver Resources
NORD Caregiver Resources
Support, advocacy, and financial assistance for caregivers of rare disease patients.
Mental Health Support
Rare disease caregiving can be isolating. Connect with counseling and peer support.
Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.What is the specific genetic cause of my child's condition, and does it affect the prognosis?,What types of seizures does my child have, and what is the best medication to control them?,What therapies should we start right away, and how often should they occur?,Are there any clinical trials or research studies my child might be eligible for?,What developmental milestones should we realistically expect, and how can we best support progress?,Should other family members be tested for the genetic change?,What emergency plan should we have in place for prolonged seizures?
Common questions about Cobblestone lissencephaly without muscular or ocular involvement
What is Cobblestone lissencephaly without muscular or ocular involvement?
Cobblestone lissencephaly without muscular or ocular involvement is an extremely rare brain malformation that is present from birth. In this condition, the surface of the brain has an abnormal bumpy or 'cobblestone' appearance instead of the normal smooth folds. This happens because during early brain development, brain cells (neurons) migrate too far and push through the surface of the brain, creating an irregular, cobblestone-like texture. Unlike related conditions such as Walker-Warburg syndrome or muscle-eye-brain disease, this form does not come with significant muscle problems (muscular
How is Cobblestone lissencephaly without muscular or ocular involvement inherited?
Cobblestone lissencephaly without muscular or ocular involvement follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does Cobblestone lissencephaly without muscular or ocular involvement typically begin?
Typical onset of Cobblestone lissencephaly without muscular or ocular involvement is neonatal. Age of onset can vary across affected individuals.