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Living with Hereditary spastic paraplegia 17

A type of hereditary spastic paraplegia caused by changes in the BSCL2 gene, with weak hands and feet and stiff legs.

Understanding Hereditary spastic paraplegia 17

Hereditary spastic paraplegia 17 is a type of hereditary spastic paraplegia caused by a change in the BSCL2 gene.

It can include wasting of the hand muscles, foot weakness (foot drop), brisk reflexes, and a spastic walk. It starts from childhood to adulthood.

Signs & symptoms

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

  • Spastic walk
  • Foot drop
  • Wasting of the hand muscles
  • Brisk reflexes
  • Differences in foot muscles

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 and genetic specialists.

  3. Consider genetic testing

    Changes in BSCL2 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 and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Spastic Paraplegia Foundation, The Foundation for Peripheral Neuropathy
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 and other patient organizations
  • 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 BSCL2 gene confirm the diagnosis?
Which therapies help with foot drop and hand weakness?
Should my relatives be tested?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant
GenesBSCL2

It is caused by changes in the BSCL2 gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurological

Also known as: autosomal dominant spastic paraplegia 17; autosomal dominant spastic paraplegia type 17; bscl2 hereditary spastic paraplegia; dhmn5b; distal hereditary motor neuropathy type 5b; hereditary spastic paraplegia caused by mutation in bscl2

Patient organizations

Source: NIH GARD · Hereditary spastic paraplegia 17GARD ID 4219 · 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 17.

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