There is a gradually progressive spastic weakness of the legs with increasing difficulties with walking.
The tendon reflexes are brisk in the legs with extensor plantar responses.
If onset is during childhood then pes cavus is common.
More extensive disease may affect the arms and the sphincters.
Complicated hereditary spastic paraplegia is associated with:
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.