Annals of Indian Academy of Neurology
  Users Online: 1591 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
SHORT COMMUNICATION
Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 341-344

Clinico-investigative profile of hereditary spastic paraplegia in children


1 Division of Pediatric Neurology, Department of Pediatrics, KAHER University's J N Medical College, In-charge Child Development Centre, KLES Prabhakar Kore Hospital, Belgaum, Karnataka, India
2 Department of Pediatric Neurology and Epilepsy, Child Development Centre, KLE Prabhakar Kore Hospital, Belgaum, Karnataka, India

Correspondence Address:
Dr. Mahesh Kamate
Division of Pediatric Neurology, Department of Pediatrics, KAHER University's J N Medical College, Belgaum - 590 010, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.AIAN_527_18

Rights and Permissions

Introduction: Hereditary spastic paraplegia (HSP) is a group of neurogenetic disorders seen mainly in adults. With the advancement in genetics, more than 78 types of HSP have been identified, with increasing identification of HSP in children. However, there is scant literature on this from India. Materials and Methods: Retrospective chart review of patients with HSP diagnosed in the last 6 years was done. The data were extracted and analyzed. Results: A total of 11 patients had a diagnosis of HSP (genetically confirmed), with mean age of presentation at 21.7 months. The main symptom at the time of presentation was delayed walking and/or abnormal gait in the form of tip-toeing and scissoring of limbs. The mean delay in diagnosis was 5.2 years after initial presentation. MRI of the presented children showed mainly thinning of corpus callosum and white-matter changes. All of them had gradual worsening spasticity, despite physiotherapy and drugs. Except one, all children had recessive form of spastic paraplegia. Child with autosomal dominant spastic paraplegia had heterozygous mutation in SPAST gene, which is known to present in the first 2 years of life. Conclusions: HSP is probably not uncommon. Recessive form of HSP is more frequently seen in children. Because of lack of awareness, there is delay in reaching the final diagnosis.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed247    
    Printed3    
    Emailed0    
    PDF Downloaded31    
    Comments [Add]    

Recommend this journal