Preferred Label : Masa syndrome;
CISMeF acronym : SPG1;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Clasped thumb and mental retardation; Gareis-mason syndrome; Crash syndrome; Spastic paraplegia 1, X-linked; Adducted thumb with mental retardation; Mental retardation, aphasia, shuffling gait, and adducted thumbs; SPG1; Thumb, congenital clasped, with mental retardation;
Description : The hereditary spastic paraplegias (SPG) are a group of clinically and genetically
diverse disorders characterized by progressive, usually severe, lower extremity spasticity;
see reviews of Fink et al. (1996) and Fink (1997). Some forms of SPG are considered
'uncomplicated,' i.e., progressive spasticity occurs in isolation; others are considered
'complicated,' i.e., progressive spasticity occurs with other neurologic features.
X-linked, autosomal dominant (see 182600), and autosomal recessive (see 270800) forms
of SPG have been described. Spastic paraplegia-1 is usually called MASA syndrome,
the designation originally suggested by Bianchine and Lewis (1974), because the main
clinical features are summarized by the acronym MASA (mental retardation, aphasia,
shuffling gait, and adducted thumbs). The shuffling gait is probably caused by spasticity
of the lower limbs, and all affected males have been reported to have increased reflexes.
The adducted thumbs are thought to be caused by hypoplastic or absent extensor pollicis
longus or brevis muscles. In affected males, the onset of speech is delayed (Winter
et al., 1989). See 314100 for isolated X-linked congenital clasped thumb and 201550
for an autosomal adducted thumbs syndrome. - Genetic Heterogeneity of X-linked Spastic
Paraplegia Other forms of X-linked spastic paraplegia included SPG2 (312920), which
is caused by mutation in the myelin proteolipid protein gene (PLP1; 300401); SPG16
(300266), which maps to Xq11.2-q23; and SPG34 (300750), which maps to Xq24-q25.;
Inheritance : X-linked recessive;
Molecular basis : Caused by mutation in the L1 cell adhesion molecule gene (L1CAM, 308840.0004);
Prefixed ID : #303350;
Origin ID : 303350;
UMLS CUI : C0795953;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
False automatic mappings
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)