The authors describe an 11-year-old male with severe mental retardatio
n, hypotonia, and arthrogryposis, with both type I lissencephaly and a
congenital peripheral neuropathy, probably hypomyelinating with axona
l involvement. To the best of the authors' knowledge, this is the firs
t report involving the co-occurrence of these two developmental disord
ers. A viral, metabolic, or nutritional insult acting throughout the p
eriod of migration and myelination or a contiguous gene Linkage are po
ssible explanations for this disorder. (C) 1998 by Elsevier Science In
c. All rights reserved.