raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:443804

Focal stiff limb syndrome

Synonyms: Focal stiff-person syndrome · Stiff leg syndrome

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Not applicable
Age of onset
Adult
Status
active

A rare stiff person spectrum disorder characterized by painful episodic spasms (which are often precipitated by touch, pain, cold, movement, or negative emotions), increased stimulus sensitivity including hyperekplexia, as well as stiffness, in a lower or upper limb, typically with insidious onset and progression over months or years. The condition may eventually progress into classic stiff person syndrome. Fear of leaving the house and walking unaided is characteristic. Most patients have autoantibodies in serum and CSF, in particular anti-glutamic acid decarboxylase (GAD) antibodies. In rare cases, the syndrome is of paraneoplastic origin.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFocal stiff limb syndromeFocal stiff-person syndrome · Stiff leg syndrome
frSyndrome de la jambe raideSyndrome des jambes raides
deFokales Stiff-Limb-SyndromFokales Stiff-Person-Syndrom · Stiff-Leg-Syndrom
esSíndrome de extremidad rígida focalSíndrome de persona rígida focal · Síndrome de pierna rígida
itSindrome focale dell'arto rigidoSindrome della gamba rigida · Sindrome focale della persona rigida
nlFocaal stiff limb-syndroomFocaal stiff person-syndroom · Stiff leg-syndroom · Stijf been-syndroom
ptSíndrome focal de membro rígidoSíndrome da perna rígida · Síndrome focal de pessoa rígida
plOgniskowy zespół sztywnej nogiOgniskowy zespół sztywności uogólnionej · Zespół sztywnej nogi
csFokální syndrom ztuhlé končetinyFokální stiff-person syndrom · Syndrom ztuhlých nohou · Fokální syndrom ztuhlého těla
ukВогнищевий синдром ригідності кінцівокФокальний синдром скутості · Синдром затерплих ніг
zh局部肢体僵硬综合征局部僵直综合征
trFokal sert ekstremite sendromuSert bacak sendromu · Fokal katı kişi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM184850NTBTvalidated
ICD-10G25.8NTBTattributedvalidated
MONDO0018629Evalidated
UMLSC4324606Evalidated
MedDRA10079359Evalidated

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

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET
Point prevalenceUnknown—EuropeClass 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

17 annotations · validated 2024-10-16
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000756Agoraphobia
HP:0025329Anti-glutamic acid decarboxylase antibody positivity
HP:0002960Autoimmunity
HP:0001348Brisk reflexes
HP:0100283EMG: continuous motor unit activity at rest
HP:0002527Falls
HP:0001288Gait disturbance
HP:0002540Inability to walk
HP:0003394Muscle spasm
HP:0002063Rigidity
Occasional (29-5%)
HP:5000002Anti-Amphiphysin antibody
HP:5000007Anti-DPPX antibody
HP:5000012Anti-Gephyrin antibody
HP:0000739Anxiety
HP:0031825Freezing of gait
HP:0001387Joint stiffness
HP:0045084Limb myoclonus

Annotation source: 35131796[PMID]_30363910[PMID]_32258231[PMID]_31804328[PMID]

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Sources for this card