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Living with Hereditary spastic paraplegia 15

A complex form of hereditary spastic paraplegia with leg stiffness, mild learning difficulty, and eye and nerve changes.

Understanding Hereditary spastic paraplegia 15

Hereditary spastic paraplegia 15 is a complex form of hereditary spastic paraplegia with slowly worsening leg stiffness.

It brings mild intellectual disability, mild trouble with balance and coordination (cerebellar ataxia), nerve damage with wasting of the hand and arm muscles, and retinal degeneration. A thin corpus callosum is common on brain scans. It starts from childhood to adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Stiff legs (spasticity)
  • Trouble walking
  • Intellectual disability
  • Speech trouble (dysarthria)
  • Nerve damage (peripheral neuropathy)
  • Fast, rhythmic eye movements (nystagmus)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ZFYVE26 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Spastic Paraplegia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Spastic Paraplegia Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Spastic Paraplegia Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could genetic testing for the ZFYVE26 gene confirm the diagnosis?
How often should my vision and retinas be checked?
Which specialists should be on my care team?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Recessive
GenesZFYVE26

It is caused by changes in the ZFYVE26 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive complex spastic paraplegia caused by mutation in zfyve26; autosomal recessive spastic paraplegia 15; autosomal recessive spastic paraplegia type 15; hereditary spastic paraparesis type 15; hereditary spastic paraplegia type 15; kjellin syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hereditary spastic paraplegia 15GARD ID 9581 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary spastic paraplegia 15.

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