Spastic Paraplegia

Symptoms of hereditary spastic paraplegia

Source: NHS

The severity and progression of symptoms will vary from person to person.

About 90% of people with hereditary spastic paraplegia have a pure form. Their symptoms are mainly confined to lower limb weakness and involuntary spasms and musclestiffness (spasticity).

The remaining 10% have a complicated or complexform of the condition. This means theyhave other symptoms in addition to the muscle weakness and spasticity. They may have a wide range of symptoms.

Purehereditary spastic paraplegia

The main symptoms of purehereditary spastic paraplegia are:

  • a gradual weakness in the legs
  • increased muscle tone and stiffness (spasticity)
  • urinaryproblemssuch as a sense of urgency even when the bladder isn't full
  • a lack of sensation in the feet (sometimes)

Childrenmay develop leg stiffness and problems walking, such as stumbling and tripping, particularly on uneven ground. This is because it's difficult for them to bend their toes upwards as a result of having weak hip muscles.

Some people may eventually need to use a walking cane or a wheelchair to help them get around. Others may not need to use any type of mobility equipment.

Complicatedhereditary spastic paraplegia

In complicated hereditary spastic paraplegia, additional symptoms may include:

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