raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:506353

Autosomal recessive complex spastic paraplegia due to Kennedy pathway dysfunction

Synonyms: Autosomal recessive complex SPG due to Kennedy pathway dysfunction · Autosomal recessive spastic paraplegia type 81

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

A rare genetic neurological disorder characterized by progressive spastic paraparesis and delayed gross motor development with an onset in infancy or early childhood. Patients also show variable degrees of intellectual disability, speech delay, and dysarthria. Other reported features include microcephaly, seizures, bifid uvula with or without cleft palate, and ocular anomalies. Brain imaging shows white matter abnormalities in the periventricular and other regions.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive complex spastic paraplegia due to Kennedy pathway dysfunctionAutosomal recessive complex SPG due to Kennedy pathway dysfunction · Autosomal recessive spastic paraplegia type 81
frParaplégie spastique complexe autosomique récessive par dysfonctionnement de la voie de KennedyHSP complexe autosomique récessive par dysfonctionnement de la voie de Kennedy · Paraplégie spastique autosomique récessive type 81
deAutosomal-rezessive komplexe spastische Paraplegie durch Störung im Kennedy-StoffwechselwegAutosomal-rezessive komplizierte SPG durch Störung des Kennedy-Stoffwechselweges · Spastische Paraplegie, autosomal-rezessive, Typ 81
esParaplejía espástica compleja autosómica recesiva por disfunción de la vía de KennedyParaplejía espástica autosómica recesiva tipo 81 · SPG compleja autosómica recesiva por disfunción de la vía de Kennedy
itParaplegia spastica complessa autosomica recessiva da disfunzione della via di KennedyParaplegia spastica autosomica recessiva tipo 81 · SPG complessa autosomica recessiva da disfunzione della via di Kennedy
nlAutosomaal recessieve complexe spastische paraplegie door disfunctie van Kennedy-reactiepadAutosomaal recessieve complexe SPG door disfunctie van Kennedy-reactiepad · Autosomaal recessieve spastische paraplegie type 81
ptParaplegia espástica complexa autossómica recessiva por disfunção da via KennedyParaparesia espástica autossómica recessiva tipo 81 · Paraparesia espástica complexa autossómica recessiva por disfunção da via Kennedy · Paraplegia espástica autossómica recessiva tipo 81 · SPG complexa autossómica recessiva por disfunção da via Kennedy
plAutosomalna recesywna złożona spastyczna paraplegia spowodowana dysfunkcją szlaku Kennedy’ego= en
csAutozomálně recesivní komplexní spastická paraplegie způsobená dysfunkcí Kennedyho dráhyAutozomálně recesivní komplexní SPG způsobená dysfunkcí Kennedyho dráhy
ukАутосомно-рецесивна складна спастична параплегія, зумовлена дисфункцієюї шляху КеннедіАутосомно-рецесивний складний SPG внаслідок дисфункції шляху Кеннеді · Аутосомно-рецесивна спастична параплегія, тип 81
zhKennedy通路功能障碍所致常染色体隐性复合型痉挛性偏瘫Autosomal recessive complex SPG due to Kennedy pathway dysfunction
trKennedy yolu disfonksiyonuna bağlı otozomal resesif kompleks spastik paraplejiKennedy yolu disfonksiyonuna bağlı otozomal çekinik kompleks SPG

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618768Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0044737Evalidated
UMLSC5568576Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SELENOIDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:29361ENSG000001380186079152p23.3selenoprotein I28052917[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated28052917[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28052917[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

22 annotations · validated 2018-12-21
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0011448Ankle clonus
HP:0002194Delayed gross motor development
HP:0002395Lower limb hyperreflexia
HP:0000252Microcephaly
HP:0008848Moderately short stature
HP:0008376Nasal, dysarthic speech
HP:0007199Progressive spastic paraparesis
HP:0007020Progressive spastic paraplegia
HP:0002191Progressive spasticity
HP:0007814Retinal pigment epithelial mottling
Frequent (79-30%)
HP:0003487Babinski sign
HP:0000193Bifid uvula
HP:0007768Central retinal vessel vascular tortuosity
HP:0000175Cleft palate
HP:0007220Demyelinating motor neuropathy
HP:0030625Hyporeflective spaces on macular OCT
HP:0001256Intellectual disability, mild
HP:0007663Reduced visual acuity
HP:0001250Seizure
Occasional (29-5%)
HP:0004302Functional motor deficit
HP:0030182Tetraplegia/tetraparesis
HP:0002493Upper motor neuron dysfunction

Run the differential on the 10 obligate / very frequent terms

Annotation source: 28052917[PMID]

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Sources for this card