raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:209951

Autosomal spastic paraplegia type 18

Synonyms: SPG18

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

Autosomal spastic paraplegia type 18 (SPG18) is a rare, complex type of hereditary spastic paraplegia characterized by progressive spastic paraplegia (presenting in early childhood) associated with delayed motor development, severe intellectual disability and joint contractures. A thin corpus callosum is equally noted on brain magnetic resonance imaging. SPG18 is caused by a mutation in the <i>ERLIN2</i> gene (8p11.2) encoding the protein, Erlin-2.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal spastic paraplegia type 18SPG18
frParaplégie spastique autosomique type 18= en
deSpastische Paraplegie Typ 18= en
esParaplejía espástica autosómica tipo 18= en
itParaplegia spastica autosomica tipo 18= en
nlAutosomale spastische paraplegie type 18= en
ptParaplegia espástica autossómica tipo 18= en
plAutosomalna recesywna paraplegia spastyczna typu 18= en
csAutozomálně recesivní spastická paraplegie, typ 18= en
ukАутосомна спастична параплегія, тип 18= en
zh常染色体隐性遗传痉挛性截瘫18型= en
trOtozomal resesif spastik parapleji tip 18= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611225BTNTvalidated
OMIM620512BTNTvalidated
ICD-10G11.4NTBTattributedvalidated
MONDO0012639Evalidated
MeSHC567628Evalidated
UMLSC2749936Evalidated
GARD4922Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ERLIN2Disease-causing germline mutation(s) inAssessedHGNC:1356ENSG000001474756116058p11.23ER lipid raft associated 221330303[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families9 casesWorldwideCase(s)Validated16636240[PMID]_23109145[PMID]_21796390[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_16636240[PMID]_23109145[PMID]_21796390[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

34 annotations · validated 2020-10-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006466Ankle flexion contracture
HP:0012453Bilateral wrist flexion contracture
HP:0002460Distal muscle weakness
HP:0002987Elbow flexion contracture
HP:0001371Flexion contracture
HP:0001263Global developmental delay
HP:0001347Hyperreflexia
HP:0007350Hyperreflexia in upper limbs
HP:0002540Inability to walk
HP:0001249Intellectual disability
HP:0006380Knee flexion contracture
Frequent (79-30%)
HP:0001344Absent speech
HP:0003487Babinski sign
HP:0002079Hypoplasia of the corpus callosum
HP:0000158Macroglossia
HP:0001257Spasticity
HP:0000154Wide mouth
Occasional (29-5%)
HP:0100712Abnormal lumbar spine morphology
HP:0000377Abnormal pinna morphology
HP:0011448Ankle clonus
HP:0002015Dysphagia
HP:0005830Flexion contracture of toe
HP:0002378Hand tremor
HP:0000218High palate
HP:0003273Hip contracture
HP:0000666Horizontal nystagmus
HP:0002166Impaired vibration sensation in the lower limbs
HP:0005997Restricted neck movement due to contractures
HP:0001583Rotary nystagmus
HP:0001250Seizure
HP:0000322Short philtrum
HP:0003306Spinal rigidity
HP:0000664Synophrys
HP:0000574Thick eyebrow

Run the differential on the 11 obligate / very frequent terms

Annotation source: 20301682[PMID]_21330303[PMID]

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Sources for this card