Annals of Indian Academy of Neurology
SHORT COMMUNICATION
Year
: 2019  |  Volume : 22  |  Issue : 3  |  Page : 341--344

Clinico-investigative profile of hereditary spastic paraplegia in children


Mahesh Kamate1, Mayank Detroja2 
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

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.


How to cite this article:
Kamate M, Detroja M. Clinico-investigative profile of hereditary spastic paraplegia in children.Ann Indian Acad Neurol 2019;22:341-344


How to cite this URL:
Kamate M, Detroja M. Clinico-investigative profile of hereditary spastic paraplegia in children. Ann Indian Acad Neurol [serial online] 2019 [cited 2019 Dec 15 ];22:341-344
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2019;volume=22;issue=3;spage=341;epage=344;aulast=Kamate;type=0