raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:447753

Autosomal dominant spastic paraplegia type 9A

Synonyms: AD-SPG9A · Cataracts-motor neuropathy-short stature-skeletal anomalies syndrome · Spastic paraparesis-amyopathy-cataracts-gastroesophageal reflux syndrome

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

A rare complex hereditary spastic paraplegia characterized by juvenile to adult onset of slowly progressive spasticity mainly affecting the lower limbs, associated with spastic dysarthria and motor neuropathy. Additional manifestations include congenital bilateral cataract, gastroesophageal reflux, persistent vomiting, mild cerebellar signs, pes cavus, and occasionally short stature, among others.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant spastic paraplegia type 9AAD-SPG9A · Cataracts-motor neuropathy-short stature-skeletal anomalies syndrome · Spastic paraparesis-amyopathy-cataracts-gastroesophageal reflux syndrome
frParaplégie spastique autosomique dominante type 9AAD-SPG9A · Syndrome de cataracte-neuropathie motrice-petite taille-anomalies squelettiques · Syndrome de paraparésie spastique-amyopathie-cataracte-reflux gastro-oesophagien
deSpastische Paraplegie, autosomal-dominante, Typ 9AAD-SPG9A · Katarakte-motorische Neuropathie-Kleinwuchs-Skelettanomalien-Syndrom · Spastische Paraparese-Amyopathie-Katarakte-gastroösophagealer Reflux-Syndrom
esParaplejía espástica autosómica dominante tipo 9AAD-SPG9A · Síndrome de cataratas-neuropatía motora-talla baja-anomalías esqueléticas · Síndrome de paraplejía espástica-amiopatía-cataratas-reflujo gastroesofágico
itParaplegia spastica autosomica dominante tipo 9AAD-SPG9A
nlAutosomaal dominante spastische paraplegie type 9ACataracten - motorische neuropathie - kleine gestalte - skeletanomalieën-syndroom · Spastische paraparese - amyopathie - cataracten - gastro-oesofageale reflux-syndroom · AD-SPG9A
ptParaplegia espástica autossómica dominante tipo 9AAD-SPG9A
plAutosomalna dominująca złożona paraplegia spastyczna typu 9A= en
csAutozomálně dominantní spastická paraplegie, typ 9AAD-SPG9A
ukАутосомно-домінантна спастична параплегія, тип 9АAD-SPG9A · Синдром катаракти - моторної нейропатії - низькорослості - скелетних аномалій · Спастичний парапарез - аміопатія - катаракта - гастроезофагеальний рефлюксний синдром
zh常染色体显性痉挛性截瘫9A型痉挛性轻瘫-肌病-白内障-胃食管反流综合征
trOtozomal dominant spastik parapleji tip 9AAD-SPG9A · Katarakt-motor nöropati-kısa boy-iskelet anomalileri sendromu · Spastik paraparezi-amyopati-katarakt-gastroözofageal reflü sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM601162Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.00NTBTattributedvalidated
MONDO0011006Evalidated
UMLSC5568978Evalidated
GARD9583Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ALDH18A1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:9722ENSG0000005957313825010q24.1aldehyde dehydrogenase 18 family member A126026163[PMID]_26297558[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 familiesWorldwideFamily(ies)Validated8779323[PMID]_9973297[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_8779323[PMID]_9973297[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

34 annotations · validated 2018-04-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007350Hyperreflexia in upper limbs
HP:0002395Lower limb hyperreflexia
HP:0002064Spastic gait
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0010832Abnormality of pain sensation
HP:0003487Babinski sign
HP:0006895Lower limb hypertonia
HP:0001761Pes cavus
Occasional (29-5%)
HP:0001317Abnormal cerebellum morphology
HP:0002500Abnormal cerebral white matter morphology
HP:0011397Abnormality of the dorsal column of the spinal cord
HP:0002425Anarthria
HP:0007371Corpus callosum atrophy
HP:0000726Dementia
HP:0000519Developmental cataract
HP:0002280Enlarged cisterna magna
HP:0002527Falls
HP:0000666Horizontal nystagmus
HP:0002166Impaired vibration sensation in the lower limbs
HP:0003419Low back pain
HP:0012514Lower limb pain
HP:0002354Memory impairment
HP:0001653Mitral regurgitation
HP:0003394Muscle spasm
HP:0001324Muscle weakness
HP:0100515Pollakisuria
HP:0002172Postural instability
HP:0000709Psychosis
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0002464Spastic dysarthria
HP:0001337Tremor
HP:0000020Urinary incontinence
HP:0000012Urinary urgency

Run the differential on the 3 obligate / very frequent terms

Annotation source: 26026163[PMID]

7

Sources for this card