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Living with Hereditary spastic paraplegia 19

A pure form of hereditary spastic paraplegia that starts in adulthood and progresses slowly.

Understanding Hereditary spastic paraplegia 19

Hereditary spastic paraplegia 19 is a pure form of hereditary spastic paraplegia that progresses slowly and starts in adulthood.

It causes a spastic walk, brisk reflexes in the legs, bladder problems such as urgency or leaks, and mild nerve damage affecting feeling and movement. GARD describes it as relatively benign.

Signs & symptoms

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

  • Stiff legs (spasticity)
  • Leg weakness
  • Brisk reflexes
  • Bladder urgency
  • Reduced vibration sense in the legs
  • Muscle spasms

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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); 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 identify the gene involved?
How can bladder symptoms be treated?
Which therapies help with stiffness and walking?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurological

Also known as: autosomal dominant spastic paraplegia 19; autosomal dominant spastic paraplegia type 19; hereditary spastic paraplegia type 19; spastic paraplegia 19, autosomal dominant; spg19

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hereditary spastic paraplegia 19GARD ID 9588 · 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 19.

Explore the Hereditary spastic paraplegia 19 blog

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