Diagnosis, investigation and management of hereditary spastic paraplegias in the era of next-generation sequencing.

Abstract:

:The hereditary spastic paraplegias (HSPs) are a group of genetic conditions in which spastic paralysis of the legs is the principal clinical feature. This is caused by a relatively selective distal axonal degeneration involving the longest axons of the corticospinal tracts. Consequently, these conditions provide an opportunity to identify genes, proteins and cellular pathways that are critical for axonal health. In this review, we will provide a brief overview of the classification, clinical features and genetics of HSP, highlighting selected HSP subtypes (i.e. those associated with thin corpus callosum or cerebellar ataxia) that are of particular clinical interest. We will then discuss appropriate investigation strategies for HSPs, suggesting how these might evolve with the introduction of next-generation sequencing technology. Finally, we will discuss the management of HSP, an area somewhat neglected by HSP research.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Hensiek A,Kirker S,Reid E

doi

10.1007/s00415-014-7598-y

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

1601-12

issue

7

eissn

0340-5354

issn

1432-1459

journal_volume

262

pub_type

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