raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:101000

Autosomal recessive spastic paraplegia type 20

Synonyms: Childhood-onset spastic paraparesis-distal muscle wasting syndrome · SPG20 · Troyer syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

Autosomal recessive spastic paraplegia type 20 (SPG20) is a type of complex hereditary spastic paraplegia characterized by an onset in infancy of progressive spastic paraparesis associated with distal amyotrophy, psuedobulbar palsy, motor and cognitive delays, mild cerebellar signs (dysarthria, dysdiadochokinesia, mild intention tremor), short stature and subtle skeletal abnormalities (pes cavus, mild talipes equinovarus, kyphoscoliosis). SPG20 is due to mutations in the <i>SPG20</i> gene (13q13.1), which encodes the protein spartin.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 20Childhood-onset spastic paraparesis-distal muscle wasting syndrome · SPG20 · Troyer syndrome
frParaplégie spastique autosomique récessive type 20SPG20 · Syndrome de Troyer · Syndrome de paraparésie spastique de l'enfance-amyotrophie distale
deSpastische Paraplegie, autosomal-rezessive, Typ 20SPG20 · Spastische Paraplegie, hereditäre - distaler Muskelschwund · Troyer-Syndrom
esParaplejía espástica autosómica recesiva tipo 20SPG20 · Síndrome de Troyer
itParaplegia spastica autosomica recessiva, tipo 20Paraplegia spastica a esordio infantile - atrofia muscolare distale · SPG20 · Sindrome di Troyer
nlAutosomaal recessieve spastische paraplegie type 20SPG20 · Spastische paraparese met aanvang in de kinderjaren - distale musculaire atrofie · Spastische paraparese met aanvang in de kinderjaren - distale spieratrofie · Troyersyndroom
ptParaplegia espástica autossómica recessiva tipo 20SPG20 · Síndorme Troyer
plAutosomalna recesywna paraplegia spastyczna typu 20Paraplegia spastyczna o początku w wieku dziecięcym - zanik mięsni dystalnych · SPG20 · Zespół Troyera
csAutozomálně recesivní spastická paraplegie, typ 20SPG20 · Syndrom zahrnující v dětství začínající spastickou paraparézu a plýtvání distálních svalů · Troyerův syndrom
ukАутосомно-рецесивна спастична параплегія, тип 20Дитячий синдром спастичного паралічу - дистального виснаження мязів · SPG20 · Синдром Троєра
zh常染色体隐性遗传痉挛性截瘫20型儿童起病痉挛性截瘫-远端肌肉萎缩综合征
trOtozomal resesif spastik parapleji tip 20SPG20 · Troyer sendromu · Çocukluk çağı başlangıçlı spastik paraparezi-distal kas kaybı sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM275900Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0010156Evalidated
MeSHC536858Evalidated
UMLSC0393559Evalidated
GARD5372Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SPARTDisease-causing germline mutation(s) inAssessedHGNC:18514ENSG0000013310460711113q13.3spartin12134148[PMID]_20437587[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families36 casesWorldwideCase(s)Validated28679690[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28679690[PMID]

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

52 annotations · validated 2018-04-25
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001317Abnormal cerebellum morphology
HP:0001760Abnormal foot morphology
HP:0005922Abnormal hand morphology
HP:0012443Abnormality of brain morphology
HP:0001155Abnormality of the hand
HP:0000924Abnormality of the skeletal system
HP:0003487Babinski sign
HP:0100543Cognitive impairment
HP:0002019Constipation
HP:0000750Delayed speech and language development
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0100518Dysuria
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0001347Hyperreflexia
HP:0000316Hypertelorism
HP:0002495Impaired vibratory sensation
HP:0001382Joint hypermobility
HP:0001270Motor delay
HP:0011094Overbite
HP:0004322Short stature
HP:0003202Skeletal muscle atrophy
HP:0001350Slurred speech
HP:0002464Spastic dysarthria
HP:0002313Spastic paraparesis
HP:0001257Spasticity
HP:0001328Specific learning disability
HP:0003484Upper limb muscle weakness
Occasional (29-5%)
HP:0001172Abnormal thumb morphology
HP:0005288Abnormality of the nares
HP:0011448Ankle clonus
HP:0000739Anxiety
HP:0030084Clinodactyly
HP:0003693Distal amyotrophy
HP:0000494Downslanted palpebral fissures
HP:0000712Emotional lability
HP:0000286Epicanthus
HP:0002857Genu valgum
HP:0000738Hallucinations
HP:0001609Hoarse voice
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0025269Panic attack
HP:0001761Pes cavus
HP:0000448Prominent nose
HP:0000709Psychosis
HP:0002360Sleep abnormality
HP:0002064Spastic gait
HP:0011098Speech apraxia
Very rare (<4-1%)
HP:0000126Hydronephrosis

Annotation source: 18413476[PMID]_20437587[PMID]_26003402[PMID]_27112432[PMID]

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Sources for this card