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Start free with EleplanAutosomal recessive spastic paraplegia type 66
ORPHA:401815Disease
Also called SPG66
What it is
A rare, complex hereditary spastic paraplegia disorder characterized by infantile onset of progressive lower limb spasticity, severe gait disturbances leading to a non-ambulatory state, absent deep tendon reflexes and amyotrophy. Additional signs include severe sensorimotor neuropathy, pes equinovarus and mild intellectual disability. Cerebellar and corpus callosum hypoplasia, as well as colpocephaly, are observed on neuroimaging.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
14- Areflexia
- Cerebellar hypoplasia
- Chronic sensorineural polyneuropathyDiagnostic criterion
- ColpocephalyDiagnostic criterion
- Gait disturbance
- Hypoplasia of the corpus callosumDiagnostic criterion
- Impaired vibration sensation in the lower limbs
- Intellectual disability
- Limb hypertonia
- Lower limb amyotrophy
- Lower limb spasticity
- Progressive spastic paraplegiaDiagnostic criterion
- Spastic gait
- Talipes equinovarus
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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