raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363654

X-linked parkinsonism-spasticity syndrome

Synonyms: XPDS

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Adolescent, Adult
Status
active

A rare, genetic, neurological disorder characterized by parkinsonian features (including resting or action tremor, cogwheel rigidity, hypomimia and bradykinesia) associated with variably penetrant spasticity, hyperactive deep tendon reflexes and Babinski sign.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked parkinsonism-spasticity syndromeXPDS
frSyndrome parkinsonien et spasticité liés à l'X= en
deParkinsonismus-Spastik-Syndrom, X-chromosomal= en
esSíndrome de parkinsonismo ligado al cromosoma X-espasticidad= en
itSindrome da parkinsonismo spasticità legata all'X= en
nlX-gebonden parkinsonisme - spasticiteit-syndroom= en
ptSíndrome de parkinsonismo – espasticidade, ligada ao cromossoma X
plZespół parkinsonizm - spastyczność sprzężony z chromosomem X= en
csX-vázaný syndrom zahrnující parkinsonismus a spasticitu= en
ukХ-зчеплений синдром паркінсонізму-спастичності= en
zhX连锁痉挛性帕金森病= en
trX'e bağlı parkinsonizm-spastisite sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300911Evalidated
ICD-10G20NTBTattributedvalidated
MONDO0010482Evalidated
UMLSC3806722Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ATP6AP2Disease-causing germline mutation(s) inAssessedHGNC:18305ENSG00000182220300556Xp11.4ATPase H+ transporting accessory protein 223595882[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET
Cases/families5 casesWorldwideCase(s)Validated20629132[PMID]_23595882[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

14 annotations · validated 2018-06-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002396Cogwheel rigidity
HP:0002322Resting tremor
Frequent (79-30%)
HP:0003487Babinski sign
HP:0002067Bradykinesia
HP:0006801Hyperactive deep tendon reflexes
HP:0001257Spasticity
Occasional (29-5%)
HP:0011448Ankle clonus
HP:0002506Diffuse cerebral atrophy
HP:0007082Dilated third ventricle
HP:0006956Lateral ventricle dilatation
HP:0000298Mask-like facies
HP:0012407Scissor gait
HP:0001250Seizure
HP:0002313Spastic paraparesis

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20629132[PMID]

7

Sources for this card