raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:100986

Autosomal recessive spastic paraplegia type 5A

Synonyms: SPG5A

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

Autosomal recessive spastic paraplegia type 5A is a form of hereditary spastic paraplegia characterized by either a pure phenotype of slowly progressive spastic paraplegia of the lower extremities with bladder dysfunction and pes cavus or a complex presentation with additional manifestations including cerebellar signs, nystagmus, distal or generalized muscle atrophy and cognitive impairment. Age of onset is highly variable, ranging from early childhood to adulthood. White matter hyperintensity and cerebellar and spinal cord atrophy may be noted, on brain magnetic resonance imaging, in some patients.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 5ASPG5A
frParaplégie spastique autosomique récessive type 5A= en
deSpastische Paraplegie, autosomal-rezessive, Typ 5A= en
esParaplejía espástica autosómica recesiva tipo 5A= en
itParaplegia spastica autosomica recessiva, tipo 5A= en
nlAutosomaal recessieve spastische paraplegie type 5A= en
ptParaplegia espástica autossómica recessiva tipo 5A= en
plAutosomalna recesywna paraplegia spastyczna typu 5A= en
csAutozomálně recesivní spastická paraplegie, typ 5A= en
ukАутосомно-рецесивна спастична параплегія, тип 5А= en
zh常染色体隐性遗传痉挛性截瘫5A型= en
trOtozomal resesif spastik parapleji tip 5A= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM270800Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0010047Evalidated
MeSHC564811Evalidated
UMLSC1849115Evalidated
GARD4926Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CYP7B1Disease-causing germline mutation(s) inAssessedHGNC:2652ENSG000001728176037118q12.3cytochrome P450 family 7 subfamily B member 1
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

24 annotations · validated 2018-02-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0002495Impaired vibratory sensation
HP:0007340Lower limb muscle weakness
HP:0002061Lower limb spasticity
HP:0001258Spastic paraplegia
Frequent (79-30%)
HP:0001317Abnormal cerebellum morphology
HP:0002500Abnormal cerebral white matter morphology
HP:0000079Abnormality of the urinary system
HP:0011448Ankle clonus
HP:0007210Lower limb amyotrophy
HP:0001761Pes cavus
Occasional (29-5%)
HP:0006827Atrophy of the spinal cord
HP:0002070Limb ataxia
HP:0002078Truncal ataxia
Very rare (<4-1%)
HP:0000518Cataract
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0000639Nystagmus
HP:0001271Polyneuropathy
HP:0002650Scoliosis
HP:0000407Sensorineural hearing impairment
HP:0009129Upper limb amyotrophy
HP:0003484Upper limb muscle weakness
HP:0006986Upper limb spasticity

Run the differential on the 5 obligate / very frequent terms

Annotation source: 19439420[PMID]_19187859[PMID]_24641183[PMID]

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Sources for this card