raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:320401

Autosomal recessive spastic paraplegia type 44

Synonyms: SPG44

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

Autosomal recessive spastic paraplegia type 44 (SPG44) is a very rare, complex form of hereditary spastic paraplegia characterized by a late-onset, slowly progressive spastic paraplegia associated with mild ataxia and dysarthria, upper extremity involvement (i.e. loss of finger dexterity, dysmetria), and mild cognitive impairment, without the presence of nystagmus. A hypomyelinating leukodystrophy and thin corpus callosum is observed in all cases and psychomotor development is normal or near normal. SPG44 is caused by mutations in the <i>GJC2</i> gene (1q41-q42) encoding the gap junction gamma-2 protein.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 44SPG44
frParaplégie spastique autosomique récessive type 44= en
deSpastische Paraplegie, autosomal-rezessive, Typ 44= en
esParaplejía espástica autosómica recesiva tipo 44= en
itParaplegia spastica autosomica recessiva, tipo 44= en
nlAutosomaal recessieve spastische paraplegie type 44= en
ptParaplegia espástica autossómica recessiva tipo 44
plAutosomalna recesywna paraplegia spastyczna typu 44= en
csAutozomálně recesivní spastická paraplegie, typ 44= en
ukАутосомно-рецесивна спастична параплегія, тип 44= en
zh常染色体隐性遗传痉挛性截瘫44型= en
trOtozomal resesif spastik parapleji tip 44= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613206Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0013179Evalidated
MeSHC567707Evalidated
UMLSC2750784Evalidated
GARD17478Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GJC2Disease-causing germline mutation(s) inAssessedHGNC:17494ENSG000001988356088031q42.13gap junction protein gamma 219056803[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated19056803[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_19056803[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 2018-04-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006958Abnormal auditory evoked potentials
HP:0012896Abnormal motor evoked potentials
HP:0007377Abnormality of somatosensory evoked potentials
HP:0000649Abnormality of visual evoked potentials
HP:0001251Ataxia
HP:0003429CNS hypomyelination
HP:0001260Dysarthria
HP:0002061Lower limb spasticity
HP:0001761Pes cavus
HP:0000486Strabismus
Frequent (79-30%)
HP:0001288Gait disturbance
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0003474Somatic sensory dysfunction
HP:0002839Urinary bladder sphincter dysfunction
Occasional (29-5%)
HP:0002194Delayed gross motor development

Run the differential on the 10 obligate / very frequent terms

Annotation source: 19056803[PMID]

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Sources for this card