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Early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndrome is a genetic neurodegenerative disease characterized by normal early development followed by childhood onset optic atrophy with progressive vision loss and eventually blindness, followed by progressive neurological decline that typically includes cerebellar ataxia, nystagmus, dorsal column dysfunction (decreased vibration and position sense), spastic paraplegia and finally tetraparesis.
Features include always present findings: Gaze-evoked nystagmus, Ataxia, Intention tremor, and Reduced visual acuity and others; and very common findings: Lower limb spasticity and Babinski sign. 37 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Ataxia, Fasciculations, Lower limb spasticity |
UCHL1 function has not been fully characterized.
Early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndrome is associated with mutations in the UCHL1 gene on chromosome 4.
Genetic testing for UCHL1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndrome has been reported in the published literature.
Phenotype severity distribution: 14 always present features, 2 very common features, 10 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndrome.
208 publications have been identified in PubMed for early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndrome. Kisho has analyzed 110 by research type. Research spans Review / Meta-Analysis (42%), Basic Science / Preclinical (24%), and Case Report / Case Series (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 46 |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:07 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles
8 |
Myotonia, Shrinkage of the cerebellum (cerebellar atrophy), Flexion contracture |
Eyes | 2 | Gaze-evoked nystagmus, Damage to the optic nerve (optic atrophy) |
Arms and legs | 1 | Lower limb spasticity |
Bones and joints | 1 | Postural tremor |
Laboratory research | 26 | 24% |
Patient case studies | 18 | 16% |
Testing and diagnosis research | 10 | 9% |
Disease patterns and progression | 6 | 5% |
Clinical study results | 2 | 2% |
New treatment approaches | 2 | 2% |
Aychoua N (2026). [PMID: 41296346](https://pubmed.ncbi.nlm.nih.gov/41296346/). *JAMA Ophthalmol*. [Basic Science / Preclinical]
Tramutola A (2026). [PMID: 42072161](https://pubmed.ncbi.nlm.nih.gov/42072161/). *Antioxidants (Basel)*. [Review / Meta-Analysis]
Kasapoğlu H (2026). [PMID: 42256974](https://pubmed.ncbi.nlm.nih.gov/42256974/). *Clin Case Rep*. [Case Report / Case Series]
Feng S (2026). [PMID: 41640696](https://pubmed.ncbi.nlm.nih.gov/41640696/). *J Clin Orthop Trauma*. [Review / Meta-Analysis]
Buel KL DO (2026). [PMID: 41544279](https://pubmed.ncbi.nlm.nih.gov/41544279/). *Am Fam Physician*. [Review / Meta-Analysis]
Qu HQ (2026). [PMID: 41740872](https://pubmed.ncbi.nlm.nih.gov/41740872/). *Brain Behav Immun*. [Review / Meta-Analysis]
Aithala JP (2026). [PMID: 42088631](https://pubmed.ncbi.nlm.nih.gov/42088631/). *J Clin Orthop Trauma*. [Review / Meta-Analysis]
Alroqi F (2026). [PMID: 41676145](https://pubmed.ncbi.nlm.nih.gov/41676145/). *Front Immunol*. [Case Report / Case Series]
Hafsi W (2026). [PMID: 30252379](https://pubmed.ncbi.nlm.nih.gov/30252379/). *Unknown Journal*. [Case Report / Case Series]
di Pasquo E (2026). [PMID: 41540173](https://pubmed.ncbi.nlm.nih.gov/41540173/). *Eur J Pediatr*. [Review / Meta-Analysis]