raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:171629

Autosomal recessive spastic paraplegia type 35

Synonyms: SPG35

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

Autosomal recessive spastic paraplegia type 35 is a rare form of hereditary spastic paraplegia characterized by childhood (exceptionally adolescent) onset of a complex phenotype presenting with lower limb (followed by upper limb) spasticity with hyperreflexia and extensor plantar responses, with additional manifestations including progressive dysarthria, dystonia, mild cognitive decline, extrapyramidal features, optic atrophy and seizures. White matter abnormalities and brain iron accumulation have also been observed on brain magnetic resonance imaging.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 35SPG35
frParaplégie spastique autosomique récessive type 35= en
deSpastische Paraplegie, autosomal-rezessive, Typ 35= en
esParaplejía espástica autosómica recesiva tipo 35
itParaplegia spastica autosomica recessiva, tipo 35= en
nlAutosomaal recessieve spastische paraplegie type 35= en
ptParaplegia espástica autossómica recessiva tipo 35= en
plAutosomalna recesywna paraplegia spastyczna typu 35= en
csAutozomálně recesivní spastická paraplegie, typ 35= en
ukАутосомно-рецесивна спастична параплегія типу 35= en
zh常染色体隐性遗传痉挛性截瘫35型= en
trOtozomal resesif spastik parapleji tip 35= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612319Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0012866Evalidated
MeSHC567311Evalidated
UMLSC3496228Evalidated
GARD10538Evalidated

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

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FA2HDisease-causing germline mutation(s) inAssessedHGNC:21197ENSG0000010308961102616q23.1fatty acid 2-hydroxylase20104589[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families38 casesWorldwideCase(s)Validated24359114[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24359114[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.

6

HPO phenotypes

37 annotations · validated 2018-02-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0009027Foot dorsiflexor weakness
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0002061Lower limb spasticity
HP:0001258Spastic paraplegia
Frequent (79-30%)
HP:0011448Ankle clonus
HP:0007366Atrophy/Degeneration affecting the brainstem
HP:0001272Cerebellar atrophy
HP:0100543Cognitive impairment
HP:0007371Corpus callosum atrophy
HP:0001260Dysarthria
HP:0002075Dysdiadochokinesis
HP:0001310Dysmetria
HP:0002359Frequent falls
HP:0007325Generalized dystonia
HP:0002079Hypoplasia of the corpus callosum
HP:0001249Intellectual disability
HP:0006895Lower limb hypertonia
HP:0001268Mental deterioration
HP:0000657Oculomotor apraxia
HP:0001285Spastic tetraparesis
Occasional (29-5%)
HP:0002607Bowel incontinence
HP:0002120Cerebral cortical atrophy
HP:0010677Enuresis nocturna
HP:0002454Eye of the tiger anomaly of globus pallidus
HP:0002808Kyphosis
HP:0000298Mask-like facies
HP:0000467Neck muscle weakness
HP:0011096Peripheral demyelination
HP:0100515Pollakisuria
HP:0006879Pontocerebellar atrophy
HP:0005656Positional foot deformity
HP:0001250Seizure
HP:0000020Urinary incontinence
Very rare (<4-1%)
HP:0000602Ophthalmoplegia
HP:0000648Optic atrophy

Run the differential on the 6 obligate / very frequent terms

Annotation source: 18463364[PMID]_19068277[PMID]_20104589[PMID]_20853438[PMID]_22146942[PMID]

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Sources for this card