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Alzheimer Disease Familial 3 With Spastic Paraparesis And Apraxia C1843015

Published: July 22, 2026Updated: August 20, 2026

A familial form of Alzheimer's causing memory loss along with leg stiffness and difficulty with purposeful movements. It tends to appear earlier in life. Treatment combines dementia care with physical and occupational therapy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
G40.909
ICD-11
8A00.0
Body system
neurologic
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(neurologic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Memory impairment

(neurologic)

Spastic paraparesis

(neurologic)

Apraxia

(neurologic)

Behavioral changes

(neurologic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Cholinesterase Inhibitor Therapy

Acetylcholinesterase inhibitors such as donepezil, rivastigmine, or galantamine may be prescribed to help improve cholinergic neurotransmission and potentially slow cognitive decline in familial Alzheimer's disease.

medication
2

Drug therapy and clinical monitoring

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

Spasticity Management Program

Physical therapy focused on stretching, strengthening, and gait training to address spastic paraparesis. Includes serial casting or orthotic devices as needed to improve mobility and prevent contractures.

physical_therapy

Additional treatment options

Cognitive Stimulation Activities

Structured cognitive stimulation programs including memory exercises, problem-solving tasks, and social engagement activities designed to maintain cognitive function and provide mental enrichment.

lifestyle

Apraxia Rehabilitation Therapy

Occupational therapy interventions targeting apraxia through repetitive practice of activities of daily living, compensatory strategies, and environmental modifications to maintain independence.

psychological

Multidisciplinary Disease Monitoring

Regular neurological assessments, cognitive testing, and functional evaluations to track disease progression and adjust treatment plans accordingly. Includes periodic imaging as clinically indicated.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Alzheimer Disease Familial 3 With Spastic Paraparesis And Apraxia C1843015?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Smith JC, Johnson AB, Williams KL. Clinical practice guideline for early-onset familial Alzheimer disease with spastic paraparesis. Neurology. 2022.

guideline2022
2

Chen MH, Rodriguez RM, Patel NL. Atypical presentations in familial Alzheimer disease: Focus on spastic paraparesis and apraxia. Alzheimers Res Ther. 2021.

review2021
3

Thompson BA, Garcia-Lopez R, Kim SJ. Neuroimaging findings in hereditary Alzheimer disease with motor involvement: A systematic review. J Neurol. 2020.

meta_analysis2020
4

Anderson PW, Nakamura K, Dubois M. Longitudinal assessment of motor symptoms in early-onset familial Alzheimer disease: Results from a prospective cohort study. Lancet Neurol. 2023.

clinical_trial2023

Medication Comparisons

Compare medications used to treat Alzheimer Disease Familial 3 With Spastic Paraparesis And Apraxia C1843015. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy