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Start free with EleplanX-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency
ORPHA:423479Disease
Also called X-linked intellectual disability-limb spasticity-retinal dystrophy-diabetes insipidus syndrome
What it is
X-linked intellectual disability-limb spasticity-retinal dystrophy-diabetes insipidus syndrome is a rare genetic neurometabolic disease characterized by severe intellectual disability, spastic quadriparesis, Leber´s congenital amaurosis and diabetes insipidus. Additional manifestations include facial dysmorphy (dolichocephalic skull, hypertelorism, deep-set eyes, hypoplastic nares, low-set ears), short stature, truncal hypotonia and axial hypertonia. Brain anomalies (e.g. thin corpus callosum with lack of isthmus and tapered splenium, hypoplasia or atrophy of the optic chiasm, prominent lateral ventricles, diminished white matter), described on magnetic resonance imaging, have been reported. High prenatal α-fetoprotein and intrauterine growth restriction is observed in routine pregnancy examination.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Inheritance
- X-linked recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
27- Aplasia/Hypoplasia of the optic nerve
- Axial hypotonia
- Bilateral tonic-clonic seizure
- Deeply set eye
- Delayed myelination
- Diabetes insipidus
- Dolichocephaly
- Elevated amniotic fluid alpha-fetoprotein
- Exotropia
- Gastrostomy tube feeding in infancy
- Hyperactive deep tendon reflexes
- Hypertelorism
- Hypoplasia of the corpus callosum
- Intrauterine growth retardation
- Limb hypertonia
- Low-set ears
- Macular coloboma
- Optic disc pallor
- Profound global developmental delay
- Retinal dystrophy
- Sensorineural hearing impairment
- Severe failure to thrive
- Short stature
- Slow pupillary light response
- Spastic tetraparesis
- Underdeveloped nasal alae
- Undetectable visual evoked potentials
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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