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Start free with EleplanSpastic paraplegia-severe developmental delay-epilepsy syndrome
ORPHA:464282Disease
Also called SPPRS syndrome · Spastic paraplegia-psychomotor retardation-seizures syndrome
What it is
Spastic paraplegia-severe developmental delay-epilepsy syndrome is a rare, genetic, complex spastic paraplegia disorder characterized by an infantile-onset of psychomotor developmental delay with severe intellectual disability and poor speech acquisition, associated with seizures (mostly myoclonic), muscular hypotonia which may be noted at birth, and slowly progressive spasticity in the lower limbs leading to severe gait disturbances. Ocular abnormalities and incontinence are commonly associated. Other symptoms may include verbal dyspraxia, hypogenitalism, macrocephaly and sensorineural hearing loss, as well as dystonic movements and ataxia with upper limb involvement.
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
Very common80–99%
3- Global developmental delayDiagnostic criterion
- Progressive spastic paraplegiaDiagnostic criterion
- SeizureDiagnostic criterion
Common30–79%
23- Absent pubertal growth spurt
- Ataxia
- Axial hypotonia
- Deeply set eye
- Delayed speech and language development
- Downturned corners of mouth
- Dysarthria
- Dystonia
- Exophoria
- Gait disturbance
- Generalized myoclonic seizure
- Hip dislocation
- Hypertelorism
- Intellectual disability
- Kyphosis
- Lower limb spasticity
- Myopia
- Retinal dystrophy
- Scoliosis
- Sensorineural hearing impairment
- Spasticity
- Unsteady gait
- Waddling gait
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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