Main clinical features
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pure spastic paraplegia of adult onset, insidious onset ranging from 22 to 66 years and a progressive severe evolution in a Caucasian kindred and in African Brazilian family, excluding the SNTB1 locus
spasticity, hyperreflexia, extensor plantar reflexes, lower-limb weakness, decreased vibration sensation, and limited muscle wasting
pyramidal symptoms and signs limited to the legs, with hyperreflexia and a spastic gait, some hyperreflexia in the arms, mild upper extremity ataxia without cerebellar abnormalities of the extra-ocular eye movements or lower extremities, very mild dysphagia also occur PMID:23455931 |