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Living with Hereditary spastic paraplegia 75

A complex type of hereditary spastic paraplegia with early onset, balance and eye problems, and nerve damage.

Understanding Hereditary spastic paraplegia 75

Hereditary spastic paraplegia 75 is a rare, complex form of hereditary spastic paraplegia with early onset and slow progression.

It brings leg stiffness, poor balance, fast eye movements (nystagmus), nerve damage, and borderline to mild intellectual disability. Reduced or absent reflexes, mild arm involvement, and notable vision problems (optic atrophy, vision loss, astigmatism) have also been reported. It starts in childhood.

Signs & symptoms

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

  • Stiff legs (spasticity)
  • Delayed development
  • Intellectual disability
  • Fast eye movements (nystagmus)
  • Vision problems such as astigmatism
  • Poor coordination (dysmetria)

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 MAG 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 MAG gene confirm the diagnosis?
How often should vision be checked?
What early developmental support is available?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesMAG

It is caused by changes in the MAG 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 75; autosomal recessive spastic paraplegia type 75; hereditary spastic paraplegia caused by mutation in mag; hereditary spastic paraplegia type 75; mag hereditary spastic paraplegia; spastic paraplegia 75, autosomal recessive

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hereditary spastic paraplegia 75GARD ID 17813 · 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 75.

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