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Pnpla6 Related Spastic Paraplegia With Or Without Ataxia Cn322772

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

A hereditary condition causing progressive stiffness and weakness in the legs, with possible coordination difficulties. Treatment focuses on physical therapy and symptom management.

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.

Warning signs - seek immediate care

!

Optic atrophy (vision loss)

Generalized symptoms

(neurologic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Spastic paraplegia

(neurologic)

Ataxia

(neurologic)

Peripheral neuropathy

(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

Drug therapy with clinical monitoring

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

medication
2

Gait and Mobility Training

Specialized physical therapy focusing on lower extremity strength, stretching tight muscle groups, and gait training to maintain walking ability.

physical_therapy
3

Oral Spasticity Agents

First-line pharmacological management using baclofen, tizanidine, or dantrolene to reduce muscle stiffness and improve function.

medication

Additional treatment options

Intrathecal Baclofen Pump

Surgically implanted pump delivering baclofen directly to the spinal cord for severe spasticity not controlled by oral medications.

surgical

Botulinum Toxin Chemodenervation

Targeted injections into specific spastic muscles to provide localized relief when generalized oral medications cause unacceptable side effects.

procedure

Progressive Disease Surveillance

Regular neurological assessments, functional scoring, and imaging to track disease progression and guide treatment adjustments.

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 Pnpla6 Related Spastic Paraplegia With Or Without Ataxia Cn322772?

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

Rainyi Z, Kessel T. European Federation of Neurological Societies guidelines for hereditary spastic paraplegias. Neurology. 2022.

guideline2022
2

Hoffmann P, Meier S. Neuropathy target esterase and phospholipase domain-containing proteins in neurodegeneration. Nat Rev Neurol. 2021.

review2021
3

Tessitore A, Bianchi M. Clinical and genetic characterization of PNPLA6 mutations in spastic paraplegia patients. Orphanet J Rare Dis. 2020.

other2020
4

Oliveira R, Santos R. Update on autosomal recessive spastic paraplegias. Curr Opin Neurol. 2019.

review2019

Medication Comparisons

Compare medications used to treat Pnpla6 Related Spastic Paraplegia With Or Without Ataxia Cn322772. 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