raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3198

Stiff person spectrum disorder

Synonyms: Moersch-Woltman syndrome · SMS · SPS · Stiff man spectrum disorder

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adolescent, Adult, Childhood, Elderly, Infancy
Status
active

A rare neurological disorder comprising fluctuating trunk and limb stiffness, painful muscle spasms, task-specific phobia related to walking, an exaggerated startle response, and often ankylosing deformities such as fixed lumbar hyperlordosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enStiff person spectrum disorderMoersch-Woltman syndrome · SMS · SPS · Stiff man spectrum disorder
frSpectre du syndrome de la personne raideSHR · SPR · Spectre du syndrome de l'homme raide · Syndrome de Moersch-Woltman
deStiff-person-Spektrum-StörungMoersch-Woltman-Syndrom · SMS · SPS · SPSD · Stiff man-Spektrum-Erkrankungen · Stiff-man-Syndrom
esTrastorno del espectro de la persona rígidaSPS · Síndrome de Moersch-Woltman · Trastorno del espectro del hombre rígido
itSpettro della malattia della persona rigidaSPS · SMS · Spettro della malattia dell'uomo rigido · Sindrome di Moersch-Woltman
nlStiff person-spectrumstoornisSMS · SPS · Stiff man-spectrumstoornis · Syndroom van Moersch-Woltman
ptEspectro clínico de pessoa-rígidaEspectro clínico de stiff man · SMS · SPS · Síndrome Moersch-Woltman
plZespół sztywności uogólnionej i zaburzeń pokrewnychSPS · Zespół Moerscha i Woltmana · Zespół sztywności uogólnionej
csStiff person syndrom a jeho variantySMS · SPS · Syndrom stiff-man · Moerschův-Woltmannův syndrom · Moersch-Woltmannův syndrom
ukРозлад спектру синдрому ригідної людиниСиндром Мерша-Вольтмана · SMS · SPS · Синдром закляклої людини
zh僵人综合征Moersch-Woltman综合征
trStiff person spektrum bozukluğuSMS · SPS · Stiff man sendromu · Moersch-Woltman sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM184850Evalidated
ICD-10G25.8NTBTinclusionvalidated
ICD-118E4A.0NTBTindexvalidated
MONDO0008491Evalidated
MONDO8491Evalidated
UMLSC0085292Evalidated
GARD5023Evalidated
MedDRA10072148Evalidated

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):

Children (3):

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 000—EuropeClass onlyValidated21921002[PMID]_ORPHANET
Point prevalence1-9 / 1 000 0000.15 / 100 000United KingdomValue and classValidated21921002[PMID]
Point prevalence<1 / 1 000 0000.09 / 100 000Tanzania, United Republic ofValue and classValidated26316197[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

32 annotations · validated 2024-10-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000739Anxiety
HP:0003457EMG abnormality
HP:0002527Falls
HP:0000975Hyperhidrosis
HP:0011964Intermittent painful muscle spasms
Frequent (79-30%)
HP:0000756Agoraphobia
HP:5000002Anti-Amphiphysin antibody
HP:5000007Anti-DPPX antibody
HP:5000011Anti-GAD65 antibody
HP:5000012Anti-Gephyrin antibody
HP:5000014Anti-GlyR antibody
HP:0030057Autoimmune antibody positivity
HP:0100543Cognitive impairment
HP:0002019Constipation
HP:0002015Dysphagia
HP:0000712Emotional lability
HP:0002267Exaggerated startle response
HP:0001288Gait disturbance
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0003326Myalgia
HP:0001336Myoclonus
HP:0012894Paraspinal muscle hypertrophy
HP:0002063Rigidity
Occasional (29-5%)
HP:0002104Apnea
HP:0000819Diabetes mellitus
HP:0000651Diplopia
HP:0031825Freezing of gait
HP:0000821Hypothyroidism
HP:0002938Lumbar hyperlordosis
HP:0002321Vertigo
Excluded (0%)
HP:0012639Abnormal nervous system morphology

Run the differential on the 5 obligate / very frequent terms

Annotation source: 37154293[PMID]_35717735[PMID]_33183848[PMID]_34313523[PMID]_26989571[PMID]_27756410[PMID]

7

Sources for this card