raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:401810

Autosomal recessive spastic paraplegia type 64

Synonyms: SPG64

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

Autosomal recessive spastic paraplegia type 64 is an extremely rare and complex form of hereditary spastic paraplegia, reported in only 4 patients from 2 families to date, characterized by spastic paraplegia (presenting between the ages of 1 to 4 years with abnormal gait) associated with microcephaly, amyotrophy, cerebellar signs (e.g. dysarthria) aggressiveness, delayed puberty and mild to moderate intellectual disability. SPG64 is due to mutations in the <i>ENTPD1</i> gene (10q24.1), encoding ectonucleoside triphosphate diphosphohydrolase 1.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 64SPG64
frParaplégie spastique autosomique récessive type 64= en
deSpastische Paraplegie, autosomal-rezessive, Typ 64= en
esParaplejía espástica autosómica recesiva tipo 64= en
itParaplegia spastica autosomica recessiva, tipo 64= en
nlAutosomaal recessieve spastische paraplegie type 64= en
ptParaplegia espástica autossómica recessiva tipo 64
plAutosomalna recesywna paraplegia spastyczna typu 64= en
csAutozomálně recesivní spastická paraplegie, typ 64= en
ukАутосомно-рецесивна спастична параплегія, тип 64= en
zh常染色体隐性遗传痉挛性截瘫64型= en
trOtozomal resesif spastik parapleji tip 64= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615683Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0014303Evalidated
UMLSC3810289Evalidated
GARD17659Evalidated

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
ENTPD1Disease-causing germline mutation(s) inAssessedHGNC:3363ENSG0000013818560175210q24.1ectonucleoside triphosphate diphosphohydrolase 124482476[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated24482476[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

9 annotations · validated 2018-02-06
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000718Aggressive behavior
HP:0000823Delayed puberty
HP:0001260Dysarthria
HP:0001288Gait disturbance
HP:0006889Intellectual disability, borderline
HP:0000252Microcephaly
HP:0001257Spasticity
Occasional (29-5%)
HP:0002500Abnormal cerebral white matter morphology
HP:0001284Areflexia

Annotation source: 24482476[PMID]

7

Sources for this card