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Living with Hereditary spastic paraplegia 24

A type of hereditary spastic paraplegia that starts in infancy, with stiff legs and hearing loss.

Understanding Hereditary spastic paraplegia 24

Hereditary spastic paraplegia 24 is a type of hereditary spastic paraplegia linked to chromosome region 13q14.

It begins in infancy and causes stiff legs, brisk reflexes, a scissor-like walk, toe walking, and hearing loss from inner ear or nerve problems.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Stiff muscles (spasticity)
  • Brisk reflexes
  • Scissor-like walk
  • Toe walking
  • Hearing loss (sensorineural)
  • Repeated muscle jerks (clonus)

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 help find the cause?
How often should hearing be tested?
Which therapies help with toe walking and stiffness?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive

GARD links it to variation in chromosome region 13q14 and doesn't name a gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive spastic paraplegia 24; autosomal recessive spastic paraplegia type 24; hereditary spastic paraplegia type 24; spastic paraplegia 24, autosomal recessive; spg24

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hereditary spastic paraplegia 24GARD ID 9296 · 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 24.

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