Hereditary spastic paraplegia

Changed by Henry Knipe, 13 Sep 2021

Updates to Article Attributes

Body was changed:

Hereditary spastic paraplegia (HSP) refers to a heterogeneous group of neurodegenerative conditions characterised by progressive degeneration of the corticospinal tracts and posterior column of the spinal cord.

Clinical presentation

Patients often tend to have progressive lower extremity weakness and spasticity.

Pathology

Genetics

Most carry an autosomal recessive inheritance.

Subtypes

Radiographic features

MRI

Often non-specific and variable but can include:

  • -<li>hypointense T2 signal of bilateral globi pallidi (due to deposition of iron)</li>
  • -<li>hydrocephalus</li>
  • -<li>thoracic cord hydromyelia</li>
  • +<li>hypointense T2 signal of the globi pallidi (due to deposition of iron) <sup>7</sup>
  • +</li>
  • +<li>
  • +<a title="Hydrocephalus" href="/articles/hydrocephalus">hydrocephalus</a> <sup>7</sup>
  • +</li>

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