raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254343

Autosomal recessive spastic ataxia-optic atrophy-dysarthria syndrome

Synonyms: Autosomal recessive spastic ataxia type 4 · SPAX4

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

A rare, genetic, autosomal recessive spastic ataxia disease characterized by onset in early childhood of spastic paraparesis, cerebellar ataxia, dysarthria and optic atrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic ataxia-optic atrophy-dysarthria syndromeAutosomal recessive spastic ataxia type 4 · SPAX4
frSyndrome d'ataxie spastique autosomique récessive-atrophie optique-dysarthrieAtaxie spastique autosomique récessive type 4 · SPAX4
deAutosomal-rezessive spastische Ataxie-Optikusatrophie-Dysarthrie-SyndromSPAX4 · Spastische Ataxie, autosomal-rezessive, Typ 4
esSíndrome de ataxia espástica autosómica recesiva-atrofia óptica-disartriaAtaxia espástica autosómica recesiva tipo 4 · SPAX4
itAprassia spastica autosomica recessiva con atrofia ottica e disartriaAtassia spastica autosomica recessiva 4 · SPAX4
nlAutosomaal recessieve spastische ataxie - opticusatrofie - dysartrie-syndroomAutosomaal recessieve spastische ataxie - optische atrofie - dysartrie-syndroom · Autosomaal recessieve spastische ataxie type 4 · SPAX4
ptSíndrome de ataxia espástica autossómica recessiva-atrofia óptica-disartria
plAutosomalna recesywna ataksja spastyczna - zanik nerwu wzrokowego - dyzartriaAutosomalna recesywna ataksja spastyczna typu 4 · SPAX4
csSyndrom zahrnující autozomálně recesivní spastickou ataxii, atrofii optiku a dysartriiSPAX4 · Autozomálně recesivní spastická ataxie, typ 4
ukАутосомно-рецесивний синдром спастичної атаксії - атрофії зорового нерва - дизартріїАутосомно-рецесивна спастична атаксія типу 4 · SPAX4
zh常染色体隐性痉挛性共济失调-视神经萎缩-构音障碍综合征痉挛性共济失调4型
trOtozomal resesif spastik ataksi-optik atrofi-dizartri sendromuSPAX4 · Otozomal çekinik spastik ataksi tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613672Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118A03.1YNTBTattributedvalidated
MONDO0013354Evalidated
UMLSC3150925Evalidated
GARD10992Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MTPAPDisease-causing germline mutation(s) inAssessedHGNC:25532ENSG0000010795161366910p11.23mitochondrial poly(A) polymerase20970105[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated20970105[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20970105[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

16 annotations · validated 2018-05-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0001260Dysarthria
HP:0001347Hyperreflexia
HP:0000648Optic atrophy
HP:0002313Spastic paraparesis
Frequent (79-30%)
HP:0002359Frequent falls
HP:0006895Lower limb hypertonia
HP:0001270Motor delay
HP:0000182Movement abnormality of the tongue
HP:0001336Myoclonus
HP:0000639Nystagmus
HP:0002073Progressive cerebellar ataxia
HP:0007240Progressive gait ataxia
HP:0200049Upper limb hypertonia
Occasional (29-5%)
HP:0000712Emotional lability
HP:0001265Hyporeflexia

Run the differential on the 5 obligate / very frequent terms

Annotation source: 20970105[PMID]_25008111[PMID]

7

Sources for this card