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Living with Hereditary spastic paraplegia 72

A pure type of hereditary spastic paraplegia starting in early childhood, with slowly worsening leg stiffness.

Understanding Hereditary spastic paraplegia 72

Hereditary spastic paraplegia 72 is a rare, pure form of hereditary spastic paraplegia that starts in early childhood.

Leg weakness and stiffness progress slowly, with a spastic walk, mild stiffness at rest, and brisk reflexes in the legs. Some people have a mild tremor, high arches, bladder problems, and loss of feeling at the ankles.

Signs & symptoms

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

  • Spastic walk
  • Muscle stiffness (rigidity)
  • High-arched feet (pes cavus)
  • Bladder control problems
  • Mild tremor, in some people
  • Reduced feeling at the ankles, in some people

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 REEP2 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); 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 REEP2 gene confirm the diagnosis?
How can bladder problems be managed?
Which therapies help with stiffness and walking?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant, Autosomal Recessive
GenesREEP2

It is caused by changes in the REEP2 gene. It can be autosomal dominant or autosomal recessive.

GeneticNeurological

Also known as: autosomal spastic paraplegia type 72; hereditary spastic paraplegia type 72; pure hereditary spastic paraplegia caused by mutation in reep2; reep2 pure hereditary spastic paraplegia; spastic paraplegia 72, autosomal recessive; spg72

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hereditary spastic paraplegia 72GARD ID 17660 · 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 72.

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