raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:397946

Autosomal spastic paraplegia type 58

Synonyms: Autosomal spastic ataxia type 2 · SPAX2 · SPG58

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

A rare, complex subtype of hereditary spastic paraplegia characterized by variable onset of slowly progressive lower limb spasticity and weakness and prominent cerebellar ataxia, associated with gait disturbances, dysarthria, increased deep tendon reflexes and extensor plantar responses. Additional features may include involuntary movements (i.e. clonus, tremor, fasciculations, chorea), decreased vibration sense, oculomotor abnormalities (e.g. nystagmus) and distal amyotrophy in the upper and lower limbs.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal spastic paraplegia type 58Autosomal spastic ataxia type 2 · SPAX2 · SPG58
frParaplégie spastique autosomique type 58Ataxie spastique autosomique type 2 · SPAX2 · SPG58
deSpastische Paraplegie, autosomale, Typ 58SPAX2 · SPG58 · Spastische Paraplegie, autosomale, Typ 2
esParaplejía espástica autosómica tipo 58Ataxia espástica autosómica tipo 2 · Paraplejía espástica autosómica recesiva tipo 58 · SPAX2 · SPG58
itParaplegia spastica autosomica recessiva, tipo 58SPG58
nlAutosomale spastische paraplegie type 58Autosomale spastische ataxie type 2 · SPAX2 · SPG58
ptParaplegia espástica autossómica tipo 58
plAutosomalna paraplegia spastyczna typu 58SPAX2 · SPG58 · Autosomalna recesywna ataksja spastyczna typu 2
csAutozomálně recesivní spastická paraplegie, typ 58SPG58
ukАутосомна спастична параплегія, тип 58Аутосомна спастична атаксія типу 2 · SPAX2 · SPG58
zh常染色体痉挛性截瘫58型常染色体痉挛性共济失调2型
trOtozomal spastik parapleji tip 58SPAX2 · SPG58 · Otozomal spastik ataksi tip 2

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611302Evalidated
ICD-10G11.4NTBTattributedvalidated
MONDO0012651Evalidated
UMLSC1969796Evalidated

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
KIF1CDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:6317ENSG0000012925060306017p13.2kinesin family member 1C24319291[PMID]_24482476[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families19 casesWorldwideCase(s)Validated24482476[PMID]_24319291[PMID]_24482476[PMID]_24808017[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24482476[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

33 annotations · validated 2018-02-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002500Abnormal cerebral white matter morphology
HP:0001260Dysarthria
HP:0002380Fasciculations
HP:0002066Gait ataxia
HP:0000668Hypodontia
HP:0002395Lower limb hyperreflexia
HP:0002497Spastic ataxia
Frequent (79-30%)
HP:0003487Babinski sign
HP:0002072Chorea
HP:0002169Clonus
HP:0003693Distal amyotrophy
HP:0001310Dysmetria
HP:0025357Erratic myoclonus
HP:0002359Frequent falls
HP:0000666Horizontal nystagmus
HP:0000252Microcephaly
HP:0011096Peripheral demyelination
HP:0004322Short stature
HP:0001257Spasticity
HP:0030187Titubation
HP:0001337Tremor
Occasional (29-5%)
HP:0007256Abnormal pyramidal sign
HP:0001263Global developmental delay
HP:0001347Hyperreflexia
HP:0001256Intellectual disability, mild
HP:0002080Intention tremor
HP:0030051Tip-toe gait
HP:0002317Unsteady gait
Very rare (<4-1%)
HP:0001272Cerebellar atrophy
HP:0002059Cerebral atrophy
HP:0009830Peripheral neuropathy
HP:0007663Reduced visual acuity
HP:0000473Torticollis

Run the differential on the 7 obligate / very frequent terms

Annotation source: 17273843[PMID]_24319291[PMID]_24482476[PMID]

7

Sources for this card