1. Hereditary Spastic Paraplegia Home Page In depth look at this disease by John K. Fink, MD, including genetic analysis, clinical features and FAQs.Category Health Conditions and Diseases...... http://www.med.umich.edu/hsp/

2. NINDS Hereditary Spastic Paraplegia Information Page HSP information sheet compiled by the National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/health_and_medical/disorders/hereditarysp.htm

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health organizations More about Hereditary Spastic Paraplegia Studies with patients Research literature Press releases Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health NINDS Hereditary Spastic Paraplegia Information Page Synonym(s): Familial Spastic Paralysis Reviewed 03-21-2003 Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) What is Hereditary Spastic Paraplegia? Is there any treatment? What is the prognosis? What research is being done? ... Organizations What is Hereditary Spastic Paraplegia? Hereditary spastic paraplegia (HSP), also called familial spastic paraparesis (FSP), refers to a group of inherited disorders that are characterized by progressive weakness and stiffness of the legs. Though the primary feature of HSP is severe, progressive, lower extremity spasticity, in more complicated forms it can be accompanied by other neurological symptoms. These include optic neuropathy, retinopathy (diseases of the retina), dementia, ataxia (lack of muscle control), icthyosis (a skin disorder resulting in dry, rough, scaly skin), mental retardation, peripheral neuropathy, and deafness. Diagnosis is primarily by neurological examination and testing to exclude other disorders. Specialized genetic testing and diagnosis are available at some medical centers.

3. HSPinfo.org - Hereditary Spastic Paraplegia Site Information about hereditary spastic paraplegia, and disability resources. Includes newsletters, news, announcements, research and support. http://hspinfo.org/

Hereditary Spastic Paraplegia Familial Spastic Paraparesis Home E-Mail Search/Site Map Home What Is HSP? News and Announcements Research Living With HSP ... About This Site This site provides information about the disorder most commonly known as Hereditary Spastic Paraplegia or Hereditary Spastic Paraparesis (HSP) Familial Spastic Paraparesis (FSP) , or Strümpell-Lorrain . (See below for alternate names.*) There is currently no cure for HSP. However, researchers around the world are moving at a rapid pace to discover all the genes responsible for HSP and to develop effective treatments and cures. Additionally, HSP community volunteers organize meetings, conferences, fundraising events and social gatherings to help others and support researchers in the fight for a cure. Français Español Deutsch Portugese ... Italiano Select one of the languages above to translate the HSPinfo site into that language using a machine translation provided by Breaking News New HSP Gene Located: The locus of SPG20 has been mapped to chromosome 13q12.3. The mutation involves the encoding of spartin, and is responsible for a recessively inherited, complicated HSP (Troyer Syndrome) found in the Old Order Amish and associated with atrophy of hand muscles. Spartin shares similarity with spastin, a molecule that is commonly mutated in HSP. For more information, see:

4. EMedicine - Hereditary Spastic Paraplegia : Article By Nam-Jong Paik, MD, PhD Numerous clinical reports have documented that hereditary spastic paraplegia (HSP) syndromes are heterogeneous. http://www.emedicine.com/pmr/topic45.htm

document.write(''); (advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Physical Medicine and Rehabilitation Disorders Of The Motor Unit Hereditary Spastic Paraplegia Last Updated: February 28, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: HSP, hereditary spastic paraparesis, familial spastic paraparesis, Strumpell-Lorrain syndrome, Strumpell-Lorrain disease, pure hereditary spastic paraplegia, uncomplicated hereditary spastic paraplegia, complicated hereditary spastic paraplegia AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Nam-Jong Paik, MD, PhD , Assistant Professor, Department of Rehabilitation Medicine, Seoul National University, Republic of Korea Coauthor(s): Jae Young Lim, MD , Instructor, Division of Musculoskeletal Rehabilitation, Department of Rehabilitation Medicine, National Rehabilitation Center Nam-Jong Paik, MD, PhD, is a member of the following medical societies:

5. Hereditary Spastic Paraplegia An article about hereditary spastic paraplegia, also called familial spastic paralysis. http://healthlink.mcw.edu/article/921730935.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Neurology By keywords: Receive Health Link via email! Subscribe now >> Hereditary Spastic Paraplegia Hereditary spastic paraplegia (HSP), also called familial spastic paralysis, refers to a group of genetic disorders that are characterized by progressive weakness and spasticity (stiffness) of the legs. Symptoms of HSP may occur alone or, in more complicated forms of HSP, may occur in combination with a number of other neurological symptoms. Generally, the primary feature is severe, progressive, lower extremity spasticity. The spasticity sometimes occurs with abnormalities such as optic neuropathy, retinopathy (disease of the retina), dementia, ataxia (lack of muscle control), ichthyosis (a skin disorder causing dry, rough, scaly skin), mental retardation, and deafness. There is no specific treatment to prevent, slow, or reverse HSP's progressive disability. Treatment is symptomatic. The prognosis for individuals with HSP varies greatly. Some cases are seriously disabling while others are less disabling and are compatible with a productive and full life. The majority of individuals with HSP have a normal life expectancy.

6. GeneReviews: Hereditary Spastic Paraplegia Overview In depth details about hereditary spastic paraplegia. Includes a summary, definition, categories, diagnosis, genetic counseling and resources. http://www.geneclinics.org/profiles/hsp/

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7. Hereditary Spastic Paraplegia hereditary spastic paraplegia / Familial Spastic Paraparesis. (StrumpellLorrain Familial Spasmodic Paraplegia, http://www.kumc.edu/gec/support/hsp.html

Hereditary Spastic Paraplegia / Familial Spastic Paraparesis (Strumpell-Lorrain Familial Spasmodic Paraplegia, Strumpell's Familial Paraplegia, Spasmodic Infantile Paraplegia, Spastic Congenital Paraplegia, Spastic Spinal Familial Paralysis) Hereditary Spastic Paraplegia / Familial Spastic Paraparesis - web page: http://www.geocities.com/HotSprings/Spa/2847/ To locate a genetic counselor or clinical geneticist in your area: Professional Genetics Societies Genetic clinics, centers, departments Genetic Societies Clinical Resources ... Search Genetics Education Center Debra Collins, M.S. CGC , Genetic Counselor, dcollins@kumc.edu This site subscribes to the principles of the HONcode (Health on the Net, Code of Conduct for Medical and Health Web Sites) of the Health On the Net Foundation

8. Hereditary Spastic Paraplegia hereditary spastic paraplegia, HSP, also called familial spastic paralysis, refers to a group of genetic disorders that are characterized by progressive weakness and stiffness of the legs. hereditary spastic paraplegia. hereditary spastic paraplegia (HSP) refers to a group of degenerative spinal cord http://www.tylermedicalclinic.com/hereditary_spastic_paraplegia.htm

The Tyler Medical Clinic Assisted Conception - Affordable Infertility Treatments - List of Diseases - Hereditary Spastic Paraplegia Hereditary Spastic Paraplegia (HSP) refers to a group of degenerative spinal cord disorders characterized by gradual, progressive weakness and stiffness (spasticity) of the legs. Approximately 10,000 people in the United States are afflicted with HSP. In HSP, the motor nerves that innervate the lower limbs start to deteriorate. This results in difficulty with balance, weakness and stiffness of the legs, muscle spasms, and dragging of toes while walking. Onset is generally during childhood but occasionally symptoms do not appear until later in life. The severity and progression of the disease also varies, even among families. Other symptoms include shortened Achilles tendon, leg cramps, hyperactive reflexes, and high arch feet (pes cavus). HSP is classified as either uncomplicated or complicated. Complicated HSP is rare and differs from uncomplicated HSP by the presence of other neurological disorders such as ataxia, epilepsy, optic and retinal neuropathies, mental retardation, ichthyosis and many others. There is no specific test to diagnose HSP. HSP is diagnosed only through careful elimination of other diseases that share common symptoms. Treatment aims to alleviate the symptoms. Physical therapy is important to maintain muscle strength and prevent further muscle weakness. Although the disease is progressive, rarely do patients ever become completely immobile. Assisted devices such as a cane or walker, however, are usually needed.

9. Treatment Of Hereditary Spastic Paraplegia hereditary spastic paraplegia Treatment of hereditary spastic paraplegia.Currently, there is no specific treatment to prevent, retard http://www.med.umich.edu/hsp/treatment.htm

Hereditary spastic paraplegia Treatment of hereditary spastic paraplegia Currently, there is no specific treatment to prevent, retard, or reverse HSP's progressive disability. Nonetheless, treatment approaches used for chronic paraplegia from other causes are useful. Patients in relatively early stages of the illness have obtained symptomatic improvement with oral and intrathecal baclofen and oral dantrolene. Zanaflex has also provided some reduction of spasticity. Bladder spasticity has been improved with oxybutynin (Ditropan). Regular physical therapy is important to maintain and improve range of motion and muscle strength. Furthermore, physical therapy is necessary to maintain aerobic conditioning of the cardiovascular system. While physical therapy does not reduce the degenerative process within the spinal cord, it is considered important that HSP subjects maintain a physical therapy exercise regimen at least several times each week. Home Page Clinical features Clinical and genetic classification Genetic analysis ... Links to related sites

10. HSPinfo.org - Hereditary Spastic Paraplegia Site Information about hereditary spastic paraplegia (Familial Spastic Paraparesis), and Disability Resources. http://www.hspinfo.org/

Hereditary Spastic Paraplegia Familial Spastic Paraparesis Home E-Mail Search/Site Map Home What Is HSP? News and Announcements Research Living With HSP ... About This Site This site provides information about the disorder most commonly known as Hereditary Spastic Paraplegia or Hereditary Spastic Paraparesis (HSP) Familial Spastic Paraparesis (FSP) , or Strümpell-Lorrain . (See below for alternate names.*) There is currently no cure for HSP. However, researchers around the world are moving at a rapid pace to discover all the genes responsible for HSP and to develop effective treatments and cures. Additionally, HSP community volunteers organize meetings, conferences, fundraising events and social gatherings to help others and support researchers in the fight for a cure. Français Español Deutsch Portugese ... Italiano Select one of the languages above to translate the HSPinfo site into that language using a machine translation provided by Breaking News New HSP Gene Located: The locus of SPG20 has been mapped to chromosome 13q12.3. The mutation involves the encoding of spartin, and is responsible for a recessively inherited, complicated HSP (Troyer Syndrome) found in the Old Order Amish and associated with atrophy of hand muscles. Spartin shares similarity with spastin, a molecule that is commonly mutated in HSP. For more information, see:

11. The First International Symposium For Hereditary Spastic Paraplegia (help). Contact us My privacy NINDS is part of the National Institutes ofHealth. The First International Symposium for hereditary spastic paraplegia http://www.ninds.nih.gov/news_and_events/spastic_paraplegia.htm

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Press releases Current Archived Events Proceedings ... NINDS Notes News articles Current Archived Online events Upcoming Archived Of interest.. Labs at NINDS Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health The First International Symposium for Hereditary Spastic Paraplegia Get Web page suited for printing Email this to a friend or colleague The First International Symposium for Hereditary Spastic Paraplegia May 25-27, 2000 University of Michigan, Ann Arbor, Michigan Symposisium Summaries and Articles HSP Symposium Agenda May 25 May 26 ... Participants Symposium Summaries and Articles Summary from hspinfo.org Summary from ataxia.org AP article written about Symposium HSP Symposium Agenda Thursday May 25 8:30 - 9:00 A.M Symposium overview and methods to achieve consensus, John K. Fink, M.D Session I, Clinical features and pathophysiology of hereditary spastic paraplegia, Tom Bird, M.D., Session Chair

12. What Is Hereditary Spastic Paraplegia? Information about the spinal cord disorder known as hereditary spastic paraplegiaor familial spastic paraparesis. What Is hereditary spastic paraplegia? http://hspinfo.org/s-HSP.htm

What Is Hereditary Spastic Paraplegia? Home E-Mail Search/Site Map Home What Is HSP? News and Announcements Research Living With HSP Meetings and Events ... General Information and Description of HSP This document contains a detailed description of hereditary spastic paraplegia, it's basic symptoms, alternate names, classification, inheritance, and other basic information about HSP. HSP Pamphlets, FAQ, and Informational Fact Sheets Informational pamphlets, fact sheets, and HSP Frequently Asked Questions (FAQ). New: Spastic Paraplegia Foundation publications in English and Spanish. Symptoms of HSP Common symptoms of HSP and their treatment. Treatment for HSP Detailed information about treatments often recommended or prescribed for people with HSP. HSP Related Links Other HSP Internet sites, HSP publications, plus an assortment of additional resources and links you can use to get more information about HSP. HSP Ask-the-Doctor Dr. John Fink at the University of Michigan

13. WE MOVE (pediatric) - Hereditary Spastic Paraplegia hereditary spastic paraplegia (HSP) is a group of genetic, degenerative disorders of the spinal cord characterized by progressive weakness (paraplegia) and stiffness (i.e., spasticity) of the legs. http://www.wemove.org/kidsmove/hsp.html

Introduction Hereditary spastic paraplegia (HSP) is a group of genetic, degenerative disorders of the spinal cord characterized by progressive weakness (paraplegia) and stiffness (i.e., spasticity ) of the legs. Spasticity refers to excessive muscle tone (hypertonicity) or muscle overactivity with increased velocity-dependent resistance to stretch. This group of disorders is also sometimes referred to as... Familial spastic paraparesis (FSP) Familial spastic paraplegia (FSP) Hereditary spastic paraparesis Strumpell-Lorraine syndrome Strumpell's disease HSP is often classified based upon whether progressive spasticity occurs as an isolated finding (i.e., uncomplicated or "pure" HSP) or with other neurologic abnormalities (i.e., complicated HSP). In families (kindreds) affected by complicated HSP, associated neurologic features have included mental retardation; deafness; degenerative changes of the retinas or the nerve-rich, innermost membranes of the eyes (retinopathy); impaired coordination of voluntary movements ( ataxia ); or progressive deterioration of thought processing and acquired intellectual abilities (

14. WE MOVE - Hereditary Spastic Paraplegia hereditary spastic paraplegia (HSP) is a group of genetic, degenerative disordersof the spinal cord characterized by progressive weakness (paraplegia) and http://www.wemove.org/hsp.html

Introduction Hereditary spastic paraplegia (HSP) is a group of genetic, degenerative disorders of the spinal cord characterized by progressive weakness (paraplegia) and stiffness (i.e., spasticity ) of the legs. Spasticity refers to excessive muscle tone (hypertonicity) or muscle overactivity with increased velocity-dependent resistance to stretch. This group of disorders is also sometimes referred to as... Familial spastic paraparesis (FSP) Familial spastic paraplegia (FSP) Hereditary spastic paraparesis Strumpell-Lorraine syndrome Strumpell's disease HSP is often classified based upon whether progressive spasticity occurs as an isolated finding (i.e., uncomplicated or "pure" HSP) or with other neurologic abnormalities (i.e., complicated HSP). In families (kindreds) affected by complicated HSP, associated neurologic features have included mental retardation; deafness; degenerative changes of the retinas or the nerve-rich, innermost membranes of the eyes (retinopathy); impaired coordination of voluntary movements ( ataxia ); or progressive deterioration of thought processing and acquired intellectual abilities (

15. Hereditary Spastic Paraplegia Disease hereditary spastic paraplegia. OMIM number 182600 http://www.uwcm.ac.uk/uwcm/mg/fidd/pages/644.html

Disease : Hereditary spastic paraplegia OMIM number : Body System : Type : Inheritance pattern : AD Incidence/prevalence : I Population surveyed : UK Date of survey : Number of cases : Size of population surveyed : Frequency figure (1 in ...) : Frequency figure for females : Method (direct/indirect) : Reference : Reid E. Pure hereditary spastic paraplegia. J Med Genet 1997;34:499-503. Comments :

16. Hereditary Spastic Paraplegia Disease hereditary spastic paraplegia. OMIM number 182600 http://www.uwcm.ac.uk/uwcm/mg/fidd/pages/645.html

Disease : Hereditary spastic paraplegia OMIM number : Body System : Type : Inheritance pattern : AD Incidence/prevalence : P Population surveyed : USSR (Russia, Kirov province) Date of survey : Number of cases : Size of population surveyed : Frequency figure (1 in ...) : Frequency figure for females : Method (direct/indirect) : D Reference : Rudenskaia GE, Mamedova RA, Petrin AN et al. Hereditary spastic paraplegias: a comparative ..etc (Russian). Zhunal Nevropatologii i Psikhiatrii Imeni S-S Korsakova 1996;96 (4):12-17. Comments :

17. EMedicine - Hereditary Spastic Paraplegia : Article Excerpt By: Nam-Jong Paik, M hereditary spastic paraplegia Strumpell first described hereditary forms ofspastic paraplegia in 1883. Excerpt from hereditary spastic paraplegia. http://www.emedicine.com/pmr/byname/hereditary-spastic-paraplegia.htm

(advertisement) Excerpt from Hereditary Spastic Paraplegia Synonyms, Key Words, and Related Terms: HSP, hereditary spastic paraparesis, familial spastic paraparesis, Strumpell-Lorrain syndrome, Strumpell-Lorrain disease, pure hereditary spastic paraplegia, uncomplicated hereditary spastic paraplegia, complicated hereditary spastic paraplegia Please click here to view the full topic text: Hereditary Spastic Paraplegia Background: Strumpell first described hereditary forms of spastic paraplegia in 1883. Lorrain later described them more extensively. The common feature of these syndromes is progressive, often severe, spasticity in the lower extremities. Hereditary spastic paraplegia (HSP) is also called familial spastic paraparesis and Strumpell-Lorrain syndrome. Numerous clinical reports have documented that HSP syndromes are heterogeneous. Syndromes are classified as uncomplicated or pure when only spinal involvement occurs, and they are classified as complicated when they are associated with neurologic abnormalities such as ataxia, mental retardation, dementia, extrapyramidal dysfunctions, visual or hearing dysfunctions, adrenal insufficiency, and ichthyosis. Inheritance may be X-linked, autosomal recessive, or autosomal dominant. The most useful classifications now are based on the mode of inheritance and genetic linkage. Clinical distinctions between pure and complicated forms of HSP have some utility; however, age of onset often has no clear relation to the HSP genotype.

18. Diagnosing Hereditary Spastic Paraplegia Subject Diagnosing hereditary spastic paraplegia Topic Area Neurology GeneralForum The Neurology and Neurosurgery Forum Question Posted By Cheryl on http://www.medhelp.org/forums/neuro/archive/1298.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Diagnosing Hereditary Spastic Paraplegia Topic Area: Neurology - General Forum: The Neurology and Neurosurgery Forum Question Posted By: Cheryl on Monday, July 28, 1997 Posted by CCF MD on August 15, 1997 at 09:41:49: In Reply to: Diagnosing Hereditary Spastic Paraplegia posted by Cheryl on July 28, 1997 at 13:03:46: : I am trying to verify whether or not a blood test exists to diagnose Hereditary Spastic Paraplegia (or Familial Spastic Paraparesis). I have heard that there may be a blood test available for the X-linked gene, but have not been able to verify that, or find out if tests are currently available for any of the other genes. Tough question. This is not an active area of research in our institution so I'm not sure how much help I can be. I've asked around and the word I hear is that the gene locus is being looked at in the various subtypes but I think that any testing is still experimental. I will give you some reference articles

19. Diagnosing Hereditary Spastic Paraplegia Subject Diagnosing hereditary spastic paraplegia Forum The Neurology and NeurosurgeryForum Topic Area Posted by Cheryl on July 28, 1997 at 130346 http://www.medhelp.org/forums/neuro/archive/1188.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Diagnosing Hereditary Spastic Paraplegia Forum: The Neurology and Neurosurgery Forum Topic Area: Posted by Cheryl on July 28, 1997 at 13:03:46: I am trying to verify whether or not a blood test exists to diagnose Hereditary Spastic Paraplegia (or Familial Spastic Paraparesis). I have heard that there may be a blood test available for the X-linked gene, but have not been able to verify that, or find out if tests are currently available for any of the other genes. The FSP/HSP Page The Neurology Forum Neurology Forum Archives Med Help Home Information contained within this forum is intended solely for general educational purposes and is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using this site you agree to the following Terms and Conditions If you would like to make an appointment at the Cleveland Clinic, please call

20. NINDS Hereditary Spastic Paraplegia Information Page More about NINDS hereditary spastic paraplegia Information Page. Contentfor this page. NINDS hereditary spastic paraplegia Information Page. http://accessible.ninds.nih.gov/health_and_medical/disorders/hereditarysp.htm

Disorders - National Institute of Neurological Disorders and Stroke (NINDS) Skip menus Main sections of the NINDS web site Home About NINDS Disorders-you are in this section ... Find People Disorders section pages and search Image Description Science For the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system. Select Topic Disorder Quick Links Alzheimer's Autism Cerebral Palsy Chronic Pain Epilepsy Headache Multiple Sclerosis Parkinson's Stroke Traumatic Brain Injury More about NINDS Hereditary Spastic Paraplegia Information Page Studies with patients Research literature Press release NINDS Search (search help) Contact us My privacy NINDS is part of the National Institutes of Health Contact us Content for this page NINDS Hereditary Spastic Paraplegia Information Page Synonym(s): Familial Spastic Paralysis Reviewed 03-21-2003 Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) What is Hereditary Spastic Paraplegia? Is there any treatment? What is the prognosis? What research is being done? ... Organizations What is Hereditary Spastic Paraplegia? Hereditary spastic paraplegia (HSP), also called familial spastic paraparesis (FSP), refers to a group of inherited disorders that are characterized by progressive weakness and stiffness of the legs. Though the primary feature of HSP is severe, progressive, lower extremity spasticity, in more complicated forms it can be accompanied by other neurological symptoms. These include optic neuropathy, retinopathy (diseases of the retina), dementia, ataxia (lack of muscle control), icthyosis (a skin disorder resulting in dry, rough, scaly skin), mental retardation, peripheral neuropathy, and deafness. Diagnosis is primarily by neurological examination and testing to exclude other disorders. Specialized genetic testing and diagnosis are available at some medical centers.

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