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Neuropatia sensitiva e motora hereditária tipo 5
ORPHA:64751CID-10 · G60.0CID-11 · 8C20.YOMIM 600361DOENÇA RARA

A neuropatia hereditária motora e sensorial tipo 5 é uma neuropatia hereditária axonal motora e sensorial rara, caracterizada por fraqueza muscular distal lentamente progressiva e atrofia com ou sem perda sensorial, resultando em dificuldade de andar, pé caído e pés cavos, que pode estar associada a sinais piramidais (respostas extensoras plantares, ligeiro aumento do tónus, reflexos rápidos dos tendões), cãibras musculares, dor e espasticidade.

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Introdução

O que você precisa saber de cara

📋

A neuropatia hereditária motora e sensorial tipo 5 é uma neuropatia hereditária axonal motora e sensorial rara, caracterizada por fraqueza muscular distal lentamente progressiva e atrofia com ou sem perda sensorial, resultando em dificuldade de andar, pé caído e pés cavos, que pode estar associada a sinais piramidais (respostas extensoras plantares, ligeiro aumento do tónus, reflexos rápidos dos tendões), cãibras musculares, dor e espasticidade.

Publicações científicas
840 artigos
Último publicado: 2026 Apr

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
25
pacientes catalogados
Início
Adult
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: G60.0
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
4 sintomas
💪
Músculos
3 sintomas
🦴
Ossos e articulações
2 sintomas

+ 13 sintomas em outras categorias

Características mais comuns

100%prev.
Fraqueza muscular distal
Frequência: 20/20
17%prev.
Espasticidade
Ocasional (29-5%)
Pé cavo
Distúrbio da marcha
Fraqueza dos dorsiflexores do pé
Dedo em martelo
22sintomas
Muito frequente (1)
Ocasional (1)
Sem dados (20)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 22 características clínicas mais associadas, ordenadas por frequência.

Fraqueza muscular distalDistal muscle weakness
Frequência: 20/20100%
EspasticidadeSpasticity
Ocasional (29-5%)17%
Pé cavoPes cavus
Distúrbio da marchaGait disturbance
Fraqueza dos dorsiflexores do péFoot dorsiflexor weakness

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico840PubMed
Últimos 10 anos200publicações
Pico2025134 papers
Linha do tempo
2026Hoje · 2026🧪 2005Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant.

MFN2Mitofusin-2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Mitochondrial outer membrane GTPase that mediates mitochondrial clustering and fusion (PubMed:11181170, PubMed:11950885, PubMed:19889647, PubMed:26214738, PubMed:28114303). Mitochondria are highly dynamic organelles, and their morphology is determined by the equilibrium between mitochondrial fusion and fission events (PubMed:28114303). Overexpression induces the formation of mitochondrial networks (PubMed:28114303). Membrane clustering requires GTPase activity and may involve a major rearrangeme

LOCALIZAÇÃO

Mitochondrion outer membrane

VIAS BIOLÓGICAS (2)
Factors involved in megakaryocyte development and platelet productionRHOT2 GTPase cycle
MECANISMO DE DOENÇA

Charcot-Marie-Tooth disease, axonal, type 2A2B

An axonal form of Charcot-Marie-Tooth disease, a disorder of the peripheral nervous system, characterized by progressive weakness and atrophy, initially of the peroneal muscles and later of the distal muscles of the arms. Charcot-Marie-Tooth disease is classified in two main groups on the basis of electrophysiologic properties and histopathology: primary peripheral demyelinating neuropathies (designated CMT1 when they are dominantly inherited) and primary peripheral axonal neuropathies (CMT2). Neuropathies of the CMT2 group are characterized by signs of axonal degeneration in the absence of obvious myelin alterations, normal or slightly reduced nerve conduction velocities, and progressive distal muscle weakness and atrophy. CMT2A2B is a severe form with autosomal recessive inheritance.

EXPRESSÃO TECIDUAL(Ubíquo)
Coração - Ventrículo esquerdo
173.4 TPM
Músculo esquelético
158.4 TPM
Esôfago - Muscular
143.1 TPM
Coração - Átrio
137.5 TPM
Esôfago - Junção
119.7 TPM
OUTRAS DOENÇAS (7)
multiple symmetric lipomatosisCharcot-Marie-Tooth disease type 2A2Charcot-Marie-Tooth disease, axonal, autosomal recessive, type 2a2b;neuropathy, hereditary motor and sensory, type 6A
HGNC:16877UniProt:O95140

Variantes genéticas (ClinVar)

408 variantes patogênicas registradas no ClinVar.

🧬 MFN2: NM_014874.4(MFN2):c.1355del (p.Phe452fs) ()
🧬 MFN2: NM_014874.4(MFN2):c.2148del (p.Ala716_Met717insTer) ()
🧬 MFN2: NM_014874.4(MFN2):c.2182C>T (p.Gln728Ter) ()
🧬 MFN2: NM_014874.4(MFN2):c.175+1G>A ()
🧬 MFN2: NM_014874.4(MFN2):c.1717-30_1771del ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 505 variantes classificadas pelo ClinVar.

328
177
VUS (65.0%)
Benigna (35.0%)
VARIANTES MAIS SIGNIFICATIVAS
TFG: NM_006070.6(TFG):c.535A>G (p.Lys179Glu) [Uncertain significance]
TFG: NM_006070.6(TFG):c.317G>T (p.Arg106Leu) [Uncertain significance]
TFG: NM_006070.6(TFG):c.619C>T (p.Pro207Ser) [Uncertain significance]
TFG: NM_006070.6(TFG):c.495G>T (p.Met165Ile) [Uncertain significance]
TFG: NM_006070.6(TFG):c.56A>G (p.Glu19Gly) [Uncertain significance]

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 5 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Neuropatia sensitiva e motora hereditária tipo 5

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

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Outros ensaios clínicos

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Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
148 papers (10 anos)
#1

[A female case of phospholipase A2 group VI-associated neurodegeneration with childhood onset and long-term follow-up until 49 years of age].

Rinsho shinkeigaku = Clinical neurology2026 Mar 11

The patient was a 39-year-old woman. At the age of 7, she developed cognitive delay and gait disturbance due to flexion deformities of both toes. Her motor function progressively declined over the years, and she became bedridden at the age of 38. At 39, she was referred to our department and was clinically diagnosed with complicated spastic paraplegia. Genetic testing revealed compound heterozygous missense mutations in PLA2G6 (c.662C>T; p.L221P / c.991G>T; p.D331Y), leading to a diagnosis of phospholipase A2 group VI-associated neurodegeneration (PLAN). Despite the progressive nature of her condition, she remained out of hospital care for an extended period. At age 49, she was admitted for evaluation following an episode of impaired consciousness and was subsequently diagnosed with epilepsy. PLAN with early childhood onset is generally associated with a poor prognosis; however, the current case represents a rare example of prolonged survival without ventilatory support or enteral feeding. We conducted a literature review of similar PLAN subtypes and discussed the clinical course of the present case in that context.

#2

Expanding the Genotypic and Phenotypic Spectrum of AP5Z1-Related Spastic Paraplegia: A Novel Variant and Comprehensive Literature Review.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience2026 Apr

Hereditary spastic paraplegias are a diverse group of neurodegenerative diseases, clinically divided into pure and complex types. Spastic paraplegia 48 is caused by pathogenic biallelic variants in the AP5Z1 gene. Our study aims to expand the phenotypic and genotypic spectrum in this very rare syndrome. Case files, detailed anamnesis, radiological imaging, physical examination findings, ophthalmological examination and genetic results were evaluated as part of the clinical assessment. Whole-exome sequencing was performed for the proband. Sanger sequencing and next-generation sequencing were performed for confirmation of the variants and segregation analysis. We identified two disease-causing variants in the AP5Z1 (NM_014855.3) gene, including a pathogenic nonsense variant (c.1322G > A, p.(Trp441Ter)) and a pathogenic frameshift variant (c.857_866del, p.(Leu286ProfsTer25)). Segregation analysis showed compound heterozygosity of the variants. In this report, we present a patient from Turkey with spasticity, who has compound heterozygous variants in the AP5Z1 gene, representing the 17th case described in the literature. This report expands the phenotypic spectrum of the AP5Z1-related spastic paraplegia type 48, which has only rarely been reported in the literature. It underscores the importance of comprehensive genetic testing and variant interpretation in achieving an accurate diagnosis and providing genetic counselling for affected families with spastic paraplegia.

#3

Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.

Proceedings of the National Academy of Sciences of the United States of America2026 Mar 10

FicD regulates Unfolded Protein Response (UPR) through reversible AMPylation and deAMPylation of BiP, an HSP70 chaperone and master regulator of the UPR. FicD activity is regulated by endoplasmic reticulum-stress, catalyzing BiP AMPylation under low stress conditions to hold inactive chaperone in reserve. In stressed cells, FicD deAMPylates BiP, acutely increasing its active pool to assist in protein folding. Variants in UPR machinery, including those in the FicD gene, are linked to hereditary diseases. Despite the known role of FicD in UPR, in-vivo regulation of its activity remains elusive, and identifying metabolites that alter FicD activity could prove useful pharmaceutically. We applied an unbiased high-throughput screening platform, known as Mass spectrometry Integrated with equilibrium Dialysis for the discovery of Allostery Systematically (MIDAS), to identify small molecule metabolites that might regulate FicD activity. MIDAS revealed interactions between FicD and two mevalonate pathway intermediates: geranyl-pyrophosphate and farnesyl-pyrophosphate. Biochemical characterization indicates that both potently inhibit FicD-mediated AMPylation and deAMPylation. The crystal structure of FicD bound to farnesyl-pyrophosphate demonstrates a competitive inhibition mechanism, with the pyrophosphate adopting the alpha and beta phosphate positions of adenosine triphosphate (ATP) and the hydrocarbon chain filling the nucleoside pocket. FicD variants previously appeared as biochemically indistinguishable, yet lead to different human pathologies. We demonstrate farnesyl-pyrophosphate inhibits FicDR374H and FicDR374C variants implicated in causing hereditary spastic paraplegia, but not the FicDR371S variant associated with neonatal diabetes. This study furthers our understanding of FicD inhibitors and distinguishes disease causing variants, providing insight into pharmacological targeting of UPR activity.

#4

Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.

Metabolic brain disease2026 Mar 03

Metabolism plays an important role in neurodegenerative diseases. Hereditary spastic paraplegias (HSP) are a heterogeneous group of rare genetic neurodegenerative disorders, commonly characterized by the clinical syndrome of progressive lower limb spasticity and mobility loss. Obesity has been linked to distinct genotypes, but the role of metabolism and nutrition in HSP remains unclear.We aimed to To evaluate metabolism and nutrition in specific HSP genotypes and to assess the impact of nutritional counseling on disease progression and body composition. In this prospective explorative pilot study, we assessed the neurological, metabolic and nutritional status of patients with HSP at baseline and one year after nutritional counseling. A total of 36 patients with genetically confirmed SPG4-, SPG7- and SPG11-associated HSP were recruited. BMI in SPG4 and SPG7 was comparable to healthy population data, whereas SPG11 showed significantly higher BMI (+ 22.9%, p < 0.05) with a considerable interindividual variability. Across all genotypes, disease severity according to the Spastic Paraplegia Rating Scale correlated negatively with leg muscle mass (ρ = -0.39, p < 0.05), protein (ρ = -0.35, p < 0.05) and fiber intake (ρ = -0.41, p < 0.05). After one year, there was a significant loss of relative muscle mass (-7.2%, p < 0.001). Progressive loss of muscle mass in HSP asks for an effective nutritional intervention combined with exercise in order to influence disease progression in HSP. The SPG11-associated obese phenotype may evolve with disease progression due to multifactorial metabolic changes, beyond reduced mobility.

#5

Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.

Cell reports2026 Feb 24

Spastic paraplegia 4 (SPG4), the most common form of hereditary spastic paraplegia, causes progressive gait deficiency due to corticospinal tract degeneration. SPG4 results from mutations in the SPAST gene, which encodes spastin, a microtubule-severing AAA-ATPase. To dissect genotype-phenotype relationships, we generated isogenic human induced pluripotent stem cell lines carrying either an SPAST missense (SPASTWT/C448Y) or truncation (SPASTWT/S245X) mutation and differentiated them into corticospinal motor neuron-enriched cortical organoids. These models revealed mutation-specific patterns of aberrant neuronal activity, microtubule hypoacetylation, and axonal degeneration. We identified mutant M1-spastin-induced hyperactivation of histone deacetylase 6 (HDAC6), a major tubulin deacetylase, as the key pathogenic culprit. Pharmacological inhibition of HDAC6 with tubastatin A restored microtubule acetylation and rescued axonal degeneration in organoids, with corresponding improvements in corticospinal tract integrity and gait defects in SPG4 transgenic mice. Our study uncovers HDAC6 hyperactivation as a targetable mechanism for SPG4 and verifies human organoids as a platform for therapeutic discovery.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC294 artigos no totalmostrando 197

2026

Digenic inheritance of mutations in SPG7 and AFG3L2 causes motor neuron and cerebellar disorders.

BMC medicine
2026

X-linked adrenoleukodystrophy as an etiological cause of progressive spastic paraplegia: A case report.

The Journal of international medical research
2026

An MSA-P patient presenting with preserved glucose metabolism in the putamen, cerebellar hypometabolism and pronounced loss of presynaptic dopamine transporter in the striatum.

EJNMMI reports
2026

Functional validation of the novel KIF5A p.R17Q VUS reveals defective axonal transport in iPSC-motoneurons from a SPG10 patient.

Frontiers in genetics
2026

Repetitive Transcranial Magnetic Stimulation for Spasticity in Stroke and Other Neuromotor Disorders: A Systematic Review of Randomized Clinical Trials.

Journal of clinical medicine
2025

Fetal and Perinatal Brain MRI Findings in Adaptor Protein Complex 4-Associated Hereditary Spastic Paraplegia.

Annals of the Child Neurology Society
2026

[A female case of phospholipase A2 group VI-associated neurodegeneration with childhood onset and long-term follow-up until 49 years of age].

Rinsho shinkeigaku = Clinical neurology
2026

Phosphatidylethanolamine: Its biological significance and responses to nutritional factors for neurohealth.

The Journal of nutrition
2026

Expanding the Genotypic and Phenotypic Spectrum of AP5Z1-Related Spastic Paraplegia: A Novel Variant and Comprehensive Literature Review.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
2026

Clinical, Radiological, and Genetic Profile of Patients with FA2H-Associated Neurodegeneration: Eight Cases from India and a Review of the Literature.

Tremor and other hyperkinetic movements (New York, N.Y.)
2026

Spastin Is Required to Prevent SPAST-Related Demyelination.

Journal of neurochemistry
2026

Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.

Proceedings of the National Academy of Sciences of the United States of America
2026

Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.

Metabolic brain disease
2026

Beyond motor impairment: investigating cognitive aspects of hereditary spastic paraplegia in a Greek case series.

Neurocase
2026

Children with suspected hereditary spastic paraplegia clearly benefit from whole exome analysis.

Human genomics
2026

A GJA1 Variant Triggers Earlier SPG4 Onset by Destabilizing Deubiquitinase VCPIP1 to Lower SPASTIN Levels.

Movement disorders : official journal of the Movement Disorder Society
2026

Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.

Cell reports
2026

MDSGene Systematic Review of Common Forms of Dominant Hereditary Spastic Paraplegia: Novel Insights.

Movement disorders clinical practice
2026

Loss of function variants in HPDL impair human cortical development via alterations of mitochondrial function.

Cell death &amp; disease
2026

Structural analysis of the plant glycoside hydrolase family 116 glucosylceramidase AtGCD3 by cryogenic electron microscopy.

International journal of biological macromolecules
2026

Rehabilitation with Intrathecal Baclofen and Gait Training Using Hybrid Assistive Limb in a Patient with Hereditary Spastic Paraplegia: A Case Report.

Progress in rehabilitation medicine
2026

Two pathogenetic intronic variants in SPG4/SPAST and expansion of the clinical presentation.

Gene
2026

Expanding the repertoire of loss-of-function variants in HACE1 causing complex spastic paraplegia: literature review and recommendations on clinical management.

Human genomics
2026

[Analysis of a three-generation Chinese pedigree affected with Hereditary spastic paraplegia type 3A due to variant of ATL1 gene].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2026

MK4 Repositioning for IAHSP: Overcoming In Vivo Data Gaps through In Silico Refinement and In Vitro Validation.

ACS chemical neuroscience
2026

Identification of an additional deep intronic splice variant prompts critical evaluation of SPG7 inheritance.

Neurogenetics
2026

Plasma neurofilament light chain in pediatric hereditary spastic paraplegia.

Journal of the neurological sciences
2026

A multi-ancestry genetic reference for the Quebec population.

Nature communications
2026

C. elegans Spastin/spas-1 Is Required for Axon Regeneration and Maintenance.

eNeuro
2026

Novel KIF5A variant in a patient with early-onset levodopa-responsive Parkinson's syndrome.

BMJ case reports
2026

A Novel AP4M1 Variant in an Iranian Child with Spastic Paraplegia 50: A Case Report and Molecular Docking Approach.

Iranian journal of medical sciences
2026

Apoptosis and motor deficits in SPG76 hereditary spastic paraplegia: Calpain 2 inhibition as therapeutic strategy.

Pharmacological research
2026

Co-development and implementation of a group-based arm-crank exercise programme in the community for individuals with neurological impairments.

BMC sports science, medicine &amp; rehabilitation
2026

The genetics of autosomal recessive ALS: a review of the common forms and their phenotypes.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2026

Cognitive impairment in hereditary spastic paraparesis: An overlooked aspect of a motor disorder.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2026

Natural history in hereditary spastic paraplegias: real-world data from an Austrian cohort.

Journal of neurology
2026

TFG p.G269V Mutation Disrupts Motor Neuron Function in iPSC-Derived Models via Wnt Signaling Dysregulation.

Journal of neurochemistry
2025

Expansion of the genetic and phenotypic spectrum of hereditary spastic paraplegia caused by ABHD16A gene variants: an integrated analysis based on novel variants and literature review.

Frontiers in pediatrics
2026

Diagnostic Yield and Genotype-Phenotype Correlations of Clinical Exome Sequencing in Hereditary Spastic Paraparesis: Experience From Eastern Spain.

European journal of neurology
2026

Multiple Mitochondrial Dysfunction Syndrome Caused by IBA57 Gene Mutation: A Case Report and Literature Review.

Molecular genetics &amp; genomic medicine
2026

Novel MTHFR variants manifesting with hereditary spastic paraplegia and recurrent pulmonary embolism: a case report and literature review of adult-onset severe MTHFR deficiency.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Late-Onset X-linked Adrenoleukodystrophy: A Rare Cause of Progressive Spastic Paraparesis.

Cureus
2025

Association of spinal cord structure with cognition in hereditary spastic paraplegia type 5.

Frontiers in neurology
2026

Serendipitous Symptom Control: Allopurinol for Spasticity in a Case of SPG4-Linked Hereditary Spastic Paraplegia-A Case Report.

Clinical case reports
2026

Hereditary spastic paraplegia: from decades of therapy to future innovations.

Therapeutic advances in neurological disorders
2026

Effect of an evidence-based modified developmental physiotherapy intervention on muscle tone, motor functions, and trunk control in a child with hereditary spastic paraplegia type 47: A case report.

Physiotherapy theory and practice
2026

Subclinical involvement of central nervous system structures other than motor or sensory tracts in SPG3A and SPG4 patients.

BMC neurology
2026

Pearls & Oy-sters: Hereditary Spastic Paraplegia Type 15 Presenting as Juvenile Onset Levodopa-Responsive Parkinsonism.

Neurology
2026

Identification of myokymia in adult-onset hereditary spastic paraplegia type 79A: Implications for the phenotypic spectrum.

eNeurologicalSci
2026

Fampridine in Hereditary Spastic Paraplegia Type 4 With SPAST Variant c.683-2A>C: A Case Report.

The American journal of case reports
2026

Neurodevelopmental disorders in childhood-onset hereditary spastic paraplegia type 7: a case series and review of literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2026

Diagnostic Utility of the ATG9A Ratio in AP-4-Associated Hereditary Spastic Paraplegia.

Annals of clinical and translational neurology
2025

Finite Element-Based Biomechanical Evaluation of Patient-Specific Insoles for a Pediatric Patient with Hereditary Spastic Paraplegia Using the Taguchi Method.

Bioengineering (Basel, Switzerland)
2025

A Mutation in Vesicular Acetylcholine Transporter Increases Tubulin Acetylation Compromising Synaptic Vesicle Transport.

Journal of neurochemistry
2026

Comprehensive Characterization of Spastic Paraplegia in Korean Patients: A Single-Center Experience over Two Decades.

Yonsei medical journal
2025

Expanding the clinical phenotype of DYNC1H1 -associated mutations: a Chinese family with autosomal dominant complex hereditary spastic paraplegia.

BMC medical genomics
2026

Protrudin acts at ER-endosome contacts to promote KIF5-mediated endosomal tubule fission.

Neurobiology of disease
2025

Miglustat does not impact clinical progression in patients with spastic paraplegia type 11.

Neurogenetics
2025

Reversing Autophagy Inhibition Ameliorates Neurodegeneration in Hereditary Spastic Paraplegia Caused by a Degradation-Resistant SPAST Mutation.

Movement disorders : official journal of the Movement Disorder Society
2025

A new variant in the UCHL1 gene supporting its implication in late-onset ataxia with optic atrophy.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

[Hereditary spastic paraplegia of type 11: towards therapeutic options].

Medecine sciences : M/S
2025

Genetic and clinical characterization of SPG10: a case series of novel pathogenic variants and phenotypic diversity.

Annals of medicine and surgery (2012)
2025

Rare variation in neurological disease genes and its role in multiple sclerosis mimicry and phenotype.

Genome medicine
2025

Longitudinal Dynamics of Plasma Neurofilament Light Chain in Hereditary Spastic Paraplegia Type 11 (HSP-SPG11) and Type 15 (HSP-ZFYVE26).

Movement disorders : official journal of the Movement Disorder Society
2025

Deciphering Spastic Ataxia: Clinical and Genetic Profiles.

Neurology. Genetics
2025

Autonomic profiling in SPG11 hereditary spastic paraplegia.

Clinical autonomic research : official journal of the Clinical Autonomic Research Society
2025

Novel missense ALDH18A1 variant in a family with autosomal dominant spastic paraplegia.

Journal of neurology
2025

Novel SPTAN1 variant mimicking hereditary spastic paraplegia (HSP).

BMJ case reports
2025

Spectrum of Movement Disorders in Early-Onset Hereditary Spastic Paraplegia: A Study of 428 Cases.

Movement disorders : official journal of the Movement Disorder Society
2025

Clinical characteristics and gene mutation analysis of a family with hereditary spastic paraplegia type 11: a case report.

Journal of medical case reports
2026

Two homozygous KIF1C variants in a Turkish family presenting with cerebellar dysfunction and spastic paraparesis with MRI findings.

Parkinsonism &amp; related disorders
2025

Loss-of-Function Variants in CPT1C: No Support for a Causal Role in Hereditary Spastic Paraplegia.

Movement disorders : official journal of the Movement Disorder Society
2026

Intracerebroventricular SPAST-AAV9 gene therapy prevents manifestation of symptoms in a mouse model of SPG4 hereditary spastic paraplegia.

Molecular therapy : the journal of the American Society of Gene Therapy
2025

KIF1A-associated neurological disorders: therapeutic opportunities and challenges.

European journal of human genetics : EJHG
2025

Swiss Cheese Gene Is Important for Intestinal Barrier, Microbiome, and Lipid Metabolism Regulation in Drosophila Gut.

International journal of molecular sciences
2026

Infantile-Onset Ascending Hereditary Spastic Paraplegia due to a Homozygous ALS2 Exons 24-25 Deletion: Expanding the Genotypic Spectrum.

American journal of medical genetics. Part A
2025

Molecular Insights into IAHSP: Influence of the R1611W Mutation on the VPS9 Domain of Alsin.

ACS omega
2025

The Genetic Landscape of Hereditary Spastic Paraplegia in Greece.

Clinical genetics
2025

The genetic architecture of primary lateral sclerosis in a cohort of Italian patients.

Journal of neurology
2026

REEP1 Accumulation Disrupts ER Integrity and Drives Spinal Motoneuron Degeneration in Distal Hereditary Motor Neuropathy.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2025

DDHD2 possesses both lipase and transacylase capacities that remodel triglyceride acyl chains.

Proceedings of the National Academy of Sciences of the United States of America
2025

Microstructural Brain White Matter Changes and Clinical Correlates in SPG3A.

Movement disorders clinical practice
2026

Expanding the Phenotypic Spectrum of ERLIN1-Related SPG62: Report of Two Siblings With Behavioral Features and Hyperacusis.

Clinical genetics
2025

LXR agonist rescues synaptic dysfunction and degeneration in SPG3A patient-specific iPSC-derived neurons.

Acta neuropathologica communications
2026

Dorsolateral Cervical Cord T2 Hyperintensity in KIF1C-Related Disease (Spastic Paraplegia 58): Two Long-Duration Cases.

Annals of clinical and translational neurology
2025

[Clinical characteristics and genetic study of a child with Spastic paraplegia 52 due to variant of AP4S1 gene and a literature review].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2025

Nutritional Approaches in Neurodegenerative Disorders: A Mini Scoping Review with Emphasis on SPG11-Related Conditions.

Nutrients
2025

Kyphoscoliosis peptidase deficiency-induced myofibrillar degeneration, focal depletion of mitochondria, and protein aggregation: A true myofibrillar myopathy?

Journal of neuromuscular diseases
2025

MT-ATP6 variant as a cause of adult-onset hereditary spastic paraparesis: A case report and literature review.

Journal of neuromuscular diseases
2025

Limited sensitivity of somatosensory evoked potentials as disease monitoring biomarkers in hereditary spastic paraplegias.

PloS one
2026

ERLIN1: A central regulator of protein quality control, lipid homeostasis, and cellular signaling at the endoplasmic reticulum.

Cellular signalling
2025

Lysosomal and mTORC1 signaling dysregulation underpin the pathology of spastic paraplegia type 80.

Nature communications
2026

Health-Related Quality of Life in Rare Forms of Childhood-Onset Hereditary Spastic Paraplegia.

Annals of clinical and translational neurology
2025

Small peptide P110 mitigates axonal degeneration of SPG15 patient iPSC-derived neurons by targeting mitochondrial dysfunction.

Neurobiology of disease
2025

Mild cognitive dysfunction in hereditary spastic paraplegia 4 disease related to fluorodesoxyglucose cerebral positron emission tomography.

Brain communications
2025

Artificial intelligence in genomics: transforming the diagnosis of hereditary spastic paraplegia.

Annals of medicine and surgery (2012)
2025

Role of Oxidative Stress in Human Neurodegenerative Pathologies: Lessons from the Drosophila Model.

Current topics in medicinal chemistry
2025

A novel KIDINS220 mutation associated with hereditary spastic paraplegia accompanied by severe peripheral neuropathy.

Frontiers in neuroscience
2025

Children with Genetically Confirmed Hereditary Spastic Paraplegia: A Single-Center Experience.

Children (Basel, Switzerland)
2025

Fluid Biomarkers in Hereditary Spastic Paraplegia: A Narrative Review and Integrative Framework for Complex Neurodegenerative Mechanisms.

Genes
2025

Botulinum Toxin Treatment in Hereditary Spastic Paraplegia-A Comprehensive Review and Update.

Toxins
2025

The Neuro-Ophthalmologic Manifestations of SPG7-Associated Disease.

Journal of personalized medicine
2025

A Novel Frameshift Variant in the SPAST Gene Causing Hereditary Spastic Paraplegia in a Bulgarian-Turkish Family.

Neurology international
2025

Hyperactivity of the non-canonical inflammasome in SPG11 and SPG48.

EBioMedicine
2025

Endoplasmic reticulum in the axon: Insights into structural dynamics and implications in neurodegeneration.

Neurobiology of disease
2025

Tubular ER dysfunction in neurodegenerative diseases.

Neurobiology of disease
2025

4-Phenylbutyric Acid Improves Gait Ability of UBAP1-Related Spastic Paraplegia Mouse Model: Therapeutic Potential for SPG80.

International journal of molecular sciences
2025

SPG7-Associated Ataxia May Involve Peripheral Neuropathy as a Key Phenotypic Feature.

Internal medicine (Tokyo, Japan)
2025

Hereditary Spastic Paraplegy Associated with the AP4S1 Gene: A Case Series Highlighting Diagnostic Pitfalls and Phenotypic Variability.

Molecular syndromology
2025

Development of a Human iPSC-Derived "Corticospinal Tract-on-a-Chip" for Neurodegenerative Disease Research.

bioRxiv : the preprint server for biology
2025

The cognitive profile of hereditary spastic paraplegia: a systematic review of the literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

DDHD2 provides a flux of saturated fatty acids for neuronal energy and function.

Nature metabolism
2025

A Case of Hereditary Spastic Paraplegia Type 50 With a Novel AP4M1 Variant and a Brief Review of the Literature.

Clinical case reports
2026

An atypical case of FA2H-related HSP35 with subtle neuroimaging findings and a novel variant in a young adult with spastic paraparesis.

Acta neurologica Belgica
2025

Wings of Discovery: Using Drosophila to Decode Hereditary Spastic Paraplegia and Ataxias.

Cells
2025

Dysregulation of SELENOI Is Associated with TDP-43 Neuropathology in Amyotrophic Lateral Sclerosis.

Cells
2026

Expanding Hereditary Spastic Paraplegias Limits: Biallelic SPAST Variants in Cerebral Palsy Mimics.

Annals of clinical and translational neurology
2025

Genetic analysis of a family with skeletal muscle ion channelopathy and hereditary spastic paraplegia type 7 caused by SCN4A and SPG7 double mutations.

Gene
2025

Genetic and Clinical Investigations of C12orf65 Gene Mutations in Three Chinese Pedigrees.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2025

Ziclague® (Alpinia Zerumbet oil) in patients with hereditary spastic paraplegia - the randomized controlled ZISPAST trial.

Orphanet journal of rare diseases
2026

Serum NfL, but not GFAP, differentiates primary lateral sclerosis from adrenomyeloneuropathy and hereditary spastic paraplegia type 4.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2025

Evidence of Dual Molecular Diagnosis of a Young Male Patient With Hereditary Spastic Paraplegia Carrying Two Rare Autosomal Mutations.

Cureus
2025

Clinical and functional analysis of KIF5A related spastic paraplegia type 10.

Parkinsonism &amp; related disorders
2025

Pathogenic KIF1A R350 Variants Disrupt A Conserved Kinesin-Tubulin Salt Bridge.

bioRxiv : the preprint server for biology
2025

Expanding the Phenotypic Spectrum of SPG4: Autism Spectrum Disorder in Early-Onset and Complex SPAST-HSP and Case Study.

Genes
2026

Targeted plasma proteomics uncover proteins associated with KIF5A-linked SPG10 and ALS spectrum disorders.

HGG advances
2026

The Impact of VAMP1 Mutations on Synaptic Vesicle Fusion Dynamics in Familial Spastic Disorders.

Journal of child neurology
2025

A founder variant in TBCB is associated with global developmental delay, autism spectrum, and spastic paraparesis.

Genetics in medicine : official journal of the American College of Medical Genetics
2025

Establishment of an induced pluripotent stem cell (iPSC) line (INNDSUi011-A) from a patient with autosomal dominant spastic paraplegia 9A due to ALDH18A1 mutation.

Stem cell research
2025

Whole genome sequencing analysis in primary lateral sclerosis (PLS) patients reveals mutations in neurological diseases-causing genes.

Journal of neurology
2025

A Japanese familial spastic paraplegia associated with a missense UBQLN2 variant.

Journal of human genetics
2025

[A case of hereditary spastic paraplegia type 64 with ENTPD1 gene variant].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2025

The hereditary spastic paraplegia type 21 (SPG21) protein is a RAB7A effector that promotes noncanonical mTORC1-catalyzed TFEB phosphorylation and cytoplasmic retention.

Molecular biology of the cell
2025

Spastic Ataxia Composite (SPAXCOM): A Scale to Evaluate the Progression of Subjects with Spasticity and Ataxia.

Movement disorders : official journal of the Movement Disorder Society
2025

Long-Term Clinical Characterization of ENTPD1-Related Spastic Paraplegia: A Novel Variant and Comprehensive Literature Review.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
2025

SPG7 p.A510V heterozygosity as a cause of adult-onset cerebellar ataxia without spasticity: longitudinal evidence from a sporadic case.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Neuroaxonal Degeneration as a Converging Mechanism in Motor Neuron Diseases (MNDs): Molecular Insights into RNA Dysregulation and Emerging Therapeutic Targets.

International journal of molecular sciences
2025

Genetic Deletion of Sarm1 in Mouse Models of Three Neurological Diseases.

Journal of the peripheral nervous system : JPNS
2025

Efficacy of radial extracorporeal shock wave therapy in hereditary spastic paraplegia: A case report.

Medicine
2025

KIF1C-related disorders: spastic ataxia or hypomyelinating leukodystrophy? A paradigm of classification ambiguity.

Neurogenetics
2025

Genotype-Phenotype Distinctions in Spastic Paraplegia 4 Reveal HDAC6 as a Therapeutic Target.

bioRxiv : the preprint server for biology
2025

Charting the genetic landscape of autosomal recessive hereditary spastic paraplegia: A deep dive into 10 exceptionally rare cases.

Neurogenetics
2025

Spinal cord structural changes in SPG4: insights from a large cohort using advanced neuroimaging.

Journal of neurology
2025

Downbeat nystagmus in hereditary spastic paraplegia type 6.

Journal of neurology
2025

When ganglioside pathways go awry: congenital disorders and experimental insights.

Journal of human genetics
2025

AAV8-based gene replacement therapy for hereditary spastic paraplegia type 5.

Molecular therapy. Methods &amp; clinical development
2025

Yield of Whole Exome Sequencing in Children With Cryptogenic Cerebral Palsy.

Pediatric neurology
2025

HPDL Biallelic Variants in Cerebral Palsy and Childhood-Onset Hereditary Spastic Paraplegia: Human and Zebrafish Insights.

Movement disorders : official journal of the Movement Disorder Society
2025

Hereditary Spastic Paraplegia Type 7 With Early-Onset Parkinsonism Responsive to Subthalamic Deep Brain Stimulation.

Annals of Indian Academy of Neurology
2025

Entropy, Irreversibility, and Time-Series Deep Learning of Kinematic and Kinetic Data for Gait Classification in Children with Cerebral Palsy, Idiopathic Toe Walking, and Hereditary Spastic Paraplegia.

Sensors (Basel, Switzerland)
2025

Adaptive Torque Control of Exoskeletons Under Spasticity Conditions via Reinforcement Learning.

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
2026

Implications of mitochondrial phosphatidylethanolamine in neuronal health and neurodegeneration.

Neural regeneration research
2025

The epidemiology of hereditary spastic paraplegia and associated common mental health outcomes in England and Northern Ireland.

Orphanet journal of rare diseases
2025

Triglycerides are an important fuel reserve for synapse function in the brain.

Nature metabolism
2025

Conformational dynamics and membrane insertion mechanism of B4GALNT1 in ganglioside synthesis.

Nature communications
2025

Connecting tubules: mechanisms of endoplasmic reticulum membrane fusion.

Biochemical Society transactions
2025

Homozygous COQ9 mutation: a new cause of potentially treatable hereditary spastic paraplegia.

European journal of human genetics : EJHG
2025

New variants and genotype-phenotype correlation in KIF5A mutation: the contribution of a large Italian cohort.

Journal of medical genetics
2025

Maternal uniparental isodisomy in a patient with autosomal recessive spastic paraplegia type 20.

Gene
2025

Naringenin and SMER28 target lysosomal reformation and rescue SPG11 and SPG15 hereditary spastic paraplegia phenotypes.

Pharmacological research
2025

Exploring gastrocnemius medialis behavior during gait in children with cerebral palsy across different gait patterns.

Clinical biomechanics (Bristol, Avon)
2025

Twenty years of misdiagnosis of X-linked adrenoleukodystrophy: a case report.

American journal of translational research
2026

Identifying the Fourth Patient With Spastic Paraplegia 90, Extending the Phenotype Spectrum.

Clinical genetics
2025

Genotype variability in early-onset Hereditary Spastic Paraplegia: a single-center study.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
2025

One gene, many phenotypes: the role of KIF5A in neurodegenerative and neurodevelopmental diseases.

Cell communication and signaling : CCS
2026

Intrafamilial Phenotypic Variation in Taiwanese Patients with Hereditary Spastic Paraplegia and Charcot-Marie-Tooth Disease Due to KIF5A Mutations: A Cross-Sectional Observational Study.

Acta neurologica Taiwanica
2025

Burden of pathogenetic and likely pathogenetic variants in SPG7, SPG11 and AP4 genes in Amyotrophic Lateral Sclerosis. A case-control study.

Journal of neurology
2025

Unravelling axonal transcriptional landscapes: insights from induced pluripotent stem cell-derived cortical neurons and implications for motor neuron degeneration.

Open biology
2025

Outcome measures of instrumented gait analysis in hereditary spastic paraplegia: a systematic review.

Journal of neuroengineering and rehabilitation
2025

High Genetic Diagnostic Yield for Patients with Rare Movement Disorders at a Single-Center Neurogenetics Clinic.

Movement disorders clinical practice
2025

French guidelines for the diagnosis and management of pure hereditary spastic paraplegia.

Revue neurologique
2025

Structural brain changes contributing to motor signs in pure hereditary spastic paraplegia type 4.

Journal of neurology
2025

Case Report: Hereditary spastic paraplegia associated with monoallelic variant in the motor domain of KIF1A.

Frontiers in human neuroscience
2025

[FA2H gene-associated spastic paraplegia (SPG35) - familial case with late onset].

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
2025

A Japanese patient with hereditary spastic paraplegia with a rare KIF5A nonsense variant.

Human genome variation
2025

Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants.

Annals of Indian Academy of Neurology
2025

Elevated Plasma Neurofilament Light Chain Levels in Children with Infantile-Onset Ascending Hereditary Spastic Paralysis.

Movement disorders clinical practice
2025

Exotropia in a Patient With a Novel Homozygous 4-Hydroxyphenylpyruvate Dioxygenase-Like Protein (HPDL) Variant.

Cureus
2025

A Rare Homozygous AP4S1 Variant in Rwandan Siblings with Autosomal Recessive Hereditary Spastic Paraplegia Type 52 (SPG52).

Genes
2025

Frequently observed polyneuropathy expands phenotypic spectrum of apparently pure autosomal dominant hereditary spastic paraplegias.

Neurologia i neurochirurgia polska
2025

Generation of an induced pluripotent stem cell (iPSC) line carrying a KCNA2 homozygous (p.Arg294His, R294H) mutation related to hereditary spastic paraplegia.

Stem cell research
2025

Pathway Analyses of Inherited Neuropathies Identify Putative Common Mechanisms of Axon Degeneration.

Annals of clinical and translational neurology
2025

Keratoconus in hereditary spastic paraplegia 15 and Kjellin syndrome: a case report.

Ophthalmic genetics
2025

Phenotypic and molecular characterization of a recurrent SPTAN1 mutation causing SPG91.

Molecular biology reports
2025

Primary Lateral Sclerosis: Implications for Diagnostic Criteria From a Natural History Study in the Netherlands.

Neurology
2025

Spastic paraplegia with short stature: Think of Troyer syndrome.

Acta neurologica Belgica
2025

Diagnostic journey and genetic analysis of a novel homozygous CYP2U1 mutation causing autosomal recessive spastic paraplegia type 56 (SPG56) in a consanguineous family.

BMC neurology
2025

HPDL Variant Type Correlates With Clinical Disease Onset and Severity.

Annals of clinical and translational neurology
2025

A decade of whole-exome sequencing in Brazilian Neurology: from past insights to future perspectives.

Arquivos de neuro-psiquiatria
2025

[Peripheral Nerve: Cause and Pathology of Inherited Peripheral Neuropathy].

Brain and nerve = Shinkei kenkyu no shinpo
2025

[Genetics of Motor Neuron Diseases and Hereditary Spastic Paraplegia].

Brain and nerve = Shinkei kenkyu no shinpo
2025

Hereditary Spastic Paraplegia in Alberta: Lessons from a Well-Defined Cohort Including the Indigenous Population.

Movement disorders clinical practice
2025

KIF5A variant in familial dystonia: A clinicogenetic study of a large Roma kindred.

Parkinsonism &amp; related disorders
2025

Expanding the Allelic and Clinical Heterogeneity of Movement Disorders Linked to Defects of Mitochondrial Adenosine Triphosphate Synthase.

Movement disorders : official journal of the Movement Disorder Society
2025

UCHL1-Mediated Spastin Degradation Regulates Microtubule Severing and Hippocampal Neurite Outgrowth.

Journal of molecular neuroscience : MN
2025

ap4b1 -/- zebrafish demonstrate morphological and motor abnormalities.

Human molecular genetics
2025

Microglia and CD8+ T cell activation precede neuronal loss in a murine model of spastic paraplegia 15.

The Journal of experimental medicine
Ver todos os 294 no EuropePMC

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Doenças relacionadas

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Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. [A female case of phospholipase A2 group VI-associated neurodegeneration with childhood onset and long-term follow-up until 49 years of age].
    Rinsho shinkeigaku = Clinical neurology· 2026· PMID 41813186mais citado
  2. Expanding the Genotypic and Phenotypic Spectrum of AP5Z1-Related Spastic Paraplegia: A Novel Variant and Comprehensive Literature Review.
    International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience· 2026· PMID 41808431mais citado
  3. Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.
    Proceedings of the National Academy of Sciences of the United States of America· 2026· PMID 41779785mais citado
  4. Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.
    Metabolic brain disease· 2026· PMID 41774218mais citado
  5. Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.
    Cell reports· 2026· PMID 41739645mais citado
  6. PDXK-Related Neuropathy: A Case With a Novel Splice-Altering Missense Variant and Literature Review.
    Mol Genet Genomic Med· 2026· PMID 41888341recente
  7. Tibialis anterior muscle function in ankle-foot deformities as derived from intraoperative force measurements.
    J Biomech· 2026· PMID 41850006recente
  8. Muscle-Specific DNM2 Overexpression Improves Charcot-Marie-Tooth Disease In Vivo and Reveals a Narrow Therapeutic Window in Skeletal Muscle.
    Int J Mol Sci· 2026· PMID 41683892recente
  9. Hereditary Motor and Sensory Neuropathies (HMSNs) With Conduction Block.
    Muscle Nerve· 2026· PMID 41335010recente
  10. [Charcot-Marie-Tooth Disease: Historical Evolution and Present Understanding].
    Brain Nerve· 2025· PMID 41233175recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:64751(Orphanet)
  2. OMIM OMIM:600361(OMIM)
  3. MONDO:0010877(MONDO)
  4. GARD:9208(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q21124579(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Neuropatia sensitiva e motora hereditária tipo 5
Compêndio · Raras BR

Neuropatia sensitiva e motora hereditária tipo 5

ORPHA:64751 · MONDO:0010877
Prevalência
<1 / 1 000 000
Casos
25 casos conhecidos
Herança
Autosomal dominant
CID-10
G60.0 · Neuropatia hereditária motora e sensorial
CID-11
Início
Adult
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0037773
EuropePMC
Wikidata
Papers 10a
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