raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:306511

Autosomal recessive spastic paraplegia type 48

Synonyms: SPG48

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

A rare, pure or complex form of hereditary spastic paraplegia usually characterized by a pure phenotype of a slowly progressive spastic paraplegia associated with urinary incontinence with an onset in mid- to late-adulthood. A complex phenotype, with the additional findings of cognitive impairment, sensorimotor polyneuropathy, ataxia, parkinsonism, and dystonia as well as thin corpus callosum and white matter lesions (seen on brain and spine magnetic resonance imaging), has also been reported.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 48SPG48
frParaplégie spastique autosomique récessive type 48= en
deSpastische Paraplegie, autosomal-rezessive, Typ 48= en
esParaplejía espástica autosómica recesiva tipo 48= en
itParaplegia spastica autosomica recessiva, tipo 48= en
nlAutosomaal recessieve spastische paraplegie type 48= en
ptParaplegia espástica autossómica recessiva tipo 48= en
plAutosomalna recesywna paraplegia spastyczna typu 48= en
csAutozomálně recesivní spastická paraplegie, typ 48= en
ukАутосомно-рецесивна спастична параплегія, типу 48= en
zh常染色体隐性遗传痉挛性截瘫48型痉挛性截瘫48型
trOtozomal resesif spastik parapleji tip 48= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613647Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0013342Evalidated
UMLSC3150901Evalidated
GARD17378Evalidated

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
AP5Z1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:22197ENSG000002428026136537p22.1adaptor related protein complex 5 subunit zeta 120613862[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated20613862[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

19 annotations · validated 2018-02-08
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002079Hypoplasia of the corpus callosum
HP:0007020Progressive spastic paraplegia
Frequent (79-30%)
HP:0003319Abnormality of the cervical spine
HP:0001251Ataxia
HP:0100543Cognitive impairment
HP:0003236Elevated circulating creatine kinase concentration
HP:0030890Hyperintensity of cerebral white matter on MRI
HP:0001347Hyperreflexia
HP:0001249Intellectual disability
HP:0007340Lower limb muscle weakness
HP:0002061Lower limb spasticity
HP:0001336Myoclonus
HP:0002064Spastic gait
HP:0002839Urinary bladder sphincter dysfunction
HP:0000020Urinary incontinence
Occasional (29-5%)
HP:0002136Broad-based gait
HP:0001300Parkinsonism
HP:0009830Peripheral neuropathy
HP:0000488Retinopathy

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20613862[PMID]_24833714[PMID]_26085577[PMID]

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Sources for this card