raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:329475

Spastic paraplegia-Paget disease of bone syndrome

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

Spastic paraplegia-Paget disease of bone syndrome is an extremely rare, complex form of hereditary spastic paraplegia characterized by a slowly progressive spastic paraplegia (with increased muscle tone, decreased strength in the anterior tibial muscles and hyperreflexia in the lower extremities with Babinski sign) presenting in adulthood, associated with Paget disease of the bone. Cognitive decline, dementia and myopathic changes at muscle biopsy have not been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSpastic paraplegia-Paget disease of bone syndrome
frSyndrome de paraplégie spastique-maladie de Paget
deSpastische Paraplegie mit Paget-Syndrom
esSíndrome de paraplejía espástica-enfermedad ósea de Paget
itParaplegia spastica - malattia ossea di Paget
nlSpastische paraplegie - botziekte van Paget-syndroom
ptSíndrome de paraplegia espástica-doença de Paget do osso
plParaplegia spastyczna - choroba Pageta kości
csSyndrom zahrnující spastickou paraplegii a Pagetovu nemoc kostí
ukСиндром спастичної параплегії-хвороби Педжета
zh痉挛性截瘫-Paget病骨综合征
trSpastik parapleji-kemik sendromunun Paget hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G11.4NTBTattributedvalidated
MONDO0018005Evalidated
UMLSC4511969Evalidated

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
VCPDisease-causing germline mutation(s) inAssessedHGNC:12666ENSG000001652806010239p13.3valosin containing protein22991237[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families1 familiesWorldwideFamily(ies)Validated22991237[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.

6

HPO phenotypes

15 annotations · validated 2016-07-08
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0003487Babinski signDiagnostic criterion
HP:0003445EMG: neuropathic changesDiagnostic criterion
HP:0003155Elevated circulating alkaline phosphatase concentrationDiagnostic criterion
HP:0001288Gait disturbance
HP:0003324Generalized muscle weaknessDiagnostic criterion
HP:0002395Lower limb hyperreflexiaDiagnostic criterion
HP:0002064Spastic gaitDiagnostic criterion
HP:0001258Spastic paraplegiaDiagnostic criterion
Very frequent (99-80%)
HP:0011842Abnormality of skeletal morphology
HP:0002829Arthralgia
HP:0002653Bone pain
HP:0004563Increased spinal bone density
HP:0002757Recurrent fractures
Frequent (79-30%)
HP:0007289Limb fasciculations
HP:0001308Tongue fasciculations

Run the differential on the 12 obligate / very frequent terms

Annotation source: 22991237[PMID]

7

Sources for this card