raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:447760

Autosomal recessive spastic paraplegia type 9B

Synonyms: AR-SPG9B

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

A rare complex hereditary spastic paraplegia characterized by early onset of slowly progressive spastic para- or tetraparesis, increased tendon reflexes, positive Babinski sign, global developmental delay, cognitive impairment, and pseudobulbar palsy. Additional manifestations include dysmorphic facial features, tremor, short stature, and urinary incontinence.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 9BAR-SPG9B
frParaplégie spastique autosomique récessive type 9B= en
deSpastische Paraplegie, autosomal-rezessive, Typ 9B= en
esParaplejía espástica autosómica recesiva tipo 9B= en
itParaplegia spastica autosomica recessiva tipo 9B= en
nlAutosomaal recessieve spastische paraplegie type 9B= en
ptParaplegia espástica autossómica recessiva tipo 9B= en
plAutosomalna recesywna złożona paraplegia spastyczna typu 9B= en
csAutozomálně recesivní spastická paraplegie, typ 9B= en
ukАутосомно-рецесивна спастична параплегія, тип 9B= en
zh常染色体显性痉挛性截瘫9B型= en
trOtozomal resesif spastik parapleji tip 9B= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616586Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.00NTBTattributedvalidated
MONDO0014702Evalidated
UMLSC5568980Evalidated

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

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 familiesWorldwideFamily(ies)Validated26026163[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26026163[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

29 annotations · validated 2018-05-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0007350Hyperreflexia in upper limbs
HP:0002395Lower limb hyperreflexia
HP:0001257Spasticity
Frequent (79-30%)
HP:0001260Dysarthria
HP:0001510Growth delay
HP:0031064Impaired continence
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0002174Postural tremor
HP:0002064Spastic gait
HP:0002445Tetraplegia
Occasional (29-5%)
HP:0001999Abnormal facial shape
HP:0002518Abnormal periventricular white matter morphology
HP:0003438Absent Achilles reflex
HP:0002120Cerebral cortical atrophy
HP:0007371Corpus callosum atrophy
HP:0000750Delayed speech and language development
HP:0001263Global developmental delay
HP:0006938Impaired vibration sensation at ankles
HP:0002751Kyphoscoliosis
HP:0002371Loss of speech
HP:0000252Microcephaly
HP:0100515Pollakisuria
HP:0002476Primitive reflex
HP:0004322Short stature
HP:0003202Skeletal muscle atrophy
HP:0030051Tip-toe gait
HP:0000016Urinary retention

Run the differential on the 4 obligate / very frequent terms

Annotation source: 26026163[PMID]

7

Sources for this card