raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:401815

Autosomal recessive spastic paraplegia type 66

Synonyms: SPG66

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

A rare, complex hereditary spastic paraplegia disorder characterized by infantile onset of progressive lower limb spasticity, severe gait disturbances leading to a non-ambulatory state, absent deep tendon reflexes and amyotrophy. Additional signs include severe sensorimotor neuropathy, pes equinovarus and mild intellectual disability. Cerebellar and corpus callosum hypoplasia, as well as colpocephaly, are observed on neuroimaging.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 66SPG66
frParaplégie spastique autosomique récessive type 66= en
deSpastische Paraplegie, autosomal-rezessive, Typ 66= en
esParaplejía espástica autosómica recesiva tipo 66= en
itParaplegia spastica autosomica recessiva tipo 66= en
nlAutosomaal recessieve spastische paraplegie type 66= en
ptParaplegia espástica autossómica recessiva tipo 66
plAutosomalna recesywna paraplegia spastyczna typu 66= en
csAutozomálně recesivní spastická paraplegie, typ 66= en
ukАутосомно-рецесивна спастична параплегія, тип 66= en
zh常染色体隐性遗传痉挛性截瘫66型= en
trOtozomal resesif spastik parapleji tip 66= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0018418Evalidated
UMLSC5190590Evalidated
GARD21697Evalidated

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
ARSIDisease-causing germline mutation(s) inAssessedHGNC:32521ENSG000001838766100095q32arylsulfatase family member I24482476[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 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

14 annotations · validated 2018-10-31
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001284Areflexia
HP:0001321Cerebellar hypoplasia
HP:0001301Chronic sensorineural polyneuropathyDiagnostic criterion
HP:0030048ColpocephalyDiagnostic criterion
HP:0001288Gait disturbance
HP:0002079Hypoplasia of the corpus callosumDiagnostic criterion
HP:0002166Impaired vibration sensation in the lower limbs
HP:0001249Intellectual disability
HP:0002509Limb hypertonia
HP:0007210Lower limb amyotrophy
HP:0002061Lower limb spasticity
HP:0007020Progressive spastic paraplegiaDiagnostic criterion
HP:0002064Spastic gait
HP:0001762Talipes equinovarus

Annotation source: 24482476[PMID]_27271711[PMID]_27217339[PMID]_24954637[PMID]

7

Sources for this card