raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:314603

Autosomal recessive spastic ataxia with leukoencephalopathy

Synonyms: ARSAL · Autosomal recessive spastic ataxia type 3 · SPAX3

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

A rare, genetic, autosomal recessive spastic ataxia disease characterized by cerebellar ataxia, spasticity, cerebellar (and in some cases cerebral) atrophy, dystonia, and leukoencephalopathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic ataxia with leukoencephalopathyARSAL · Autosomal recessive spastic ataxia type 3 · SPAX3
frAtaxie spastique autosomique récessive avec leucoencéphalopathieARSAL · Ataxie spastique autosomique récessive type 3 · SPAX3
deAutosomal-rezessive spastische Ataxie mit LeukoenzephalopathieARSAL · Ataxie, spastische, autosomal-rezessive, Typ 3 · SPAX3
esAtaxia espástica autosómica recesiva con leucoencefalopatíaARSAL · Ataxia espástica autosómica recesiva tipo 3 · SPAX3
itAtassia spastica autosomica recessiva con leucoencefalopatiaARSAL · Atassia spastica autosomica recessiva, tipo 3 · SPAX3
nlAutosomaal recessieve spastische ataxie met leuko-encefalopathieARSAL · Autosomaal recessieve spastische ataxie type 3 · SPAX3
ptAtaxia espástica autossómica recessiva com leucoencefalopatiaARSAL · Ataxia espástica autossómica recessiva tipo 3 · SPAX3
plAutosomalna recesywna ataksja spastyczna z leukoencefalopatiąARSAL · Autosomalna recesywna ataksja spastyczna typu 3 · SPAX3
csAutozomálně recesivní spastická ataxie s leukoencefalopatiíARSAL · SPAX3 · Autozomálně recesivní spastická ataxie, typ 3
ukАутосомно-рецесивна спастична атаксія з лейкоенцефалопатієюARSAL · Аутосомно-рецесивна спастична атаксія типу 3 · SPAX3
zh常染色体隐性遗传痉挛性共济失调3型常染色体隐性遗传痉挛性共济失调3型
trLökoensefalopati ile seyreden otozomal resesif spastik ataksiARSAL · SPAX3 · Otozomal çekinik spastik ataksi tip 3

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611390Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118A03.1YNTBTattributedvalidated
MONDO0012664Evalidated
MeSHC566956Evalidated
UMLSC1969645Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MARS2Disease-causing germline mutation(s) inAssessedHGNC:25133ENSG000002476266097282q33.1methionyl-tRNA synthetase 2, mitochondrial22448145[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families54 casesWorldwideCase(s)Validated22448145[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22448145[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:0001321Cerebellar hypoplasia
HP:0001347Hyperreflexia
HP:0002497Spastic ataxia
Frequent (79-30%)
HP:0002120Cerebral cortical atrophy
HP:0001310Dysmetria
HP:0001332Dystonia
HP:0002066Gait ataxia
HP:0000666Horizontal nystagmus
HP:0001256Intellectual disability, mild
HP:0002352Leukoencephalopathy
HP:0002073Progressive cerebellar ataxia
HP:0002650Scoliosis
HP:0002464Spastic dysarthria
HP:0001257Spasticity
HP:0000012Urinary urgency
Occasional (29-5%)
HP:0008619Bilateral sensorineural hearing impairment

Run the differential on the 3 obligate / very frequent terms

Annotation source: 16672289[PMID]

7

Sources for this card