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Start free with EleplanStiff person spectrum disorder
ORPHA:3198Disease
Also called Moersch-Woltman syndrome · SMS · SPS · Stiff man spectrum disorder
What it is
A rare neurological disorder comprising fluctuating trunk and limb stiffness, painful muscle spasms, task-specific phobia related to walking, an exaggerated startle response, and often ankylosing deformities such as fixed lumbar hyperlordosis.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Europe)
- Age of onset
- Adolescent, Adult, Childhood, Elderly, Infancy
- Inheritance
- Not applicable
- 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%
18- Agoraphobia
- Anti-Amphiphysin antibody
- Anti-DPPX antibody
- Anti-GAD65 antibody
- Anti-Gephyrin antibody
- Anti-GlyR antibody
- Autoimmune antibody positivity
- Cognitive impairment
- Constipation
- Dysphagia
- Emotional lability
- Exaggerated startle response
- Gait disturbance
- Hyperreflexia
- Myalgia
- Myoclonus
- Paraspinal muscle hypertrophy
- Rigidity
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.
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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