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Autosomal dominant spastic paraplegia type 29 (SPG29) is a complex form of hereditary spastic paraplegia characterized by a spastic paraplegia presenting in adolescence, associated with the additional manifestations of sensorial hearing impairment due to auditory neuropathy and persistent vomiting due to a hiatal or paraesophageal hernia.
Features include very common findings: Babinski sign and Lower limb hyperreflexia; and common findings: Hiatus hernia, Pes cavus, Hearing loss (hearing impairment), and Hyperbilirubinemia and others. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Clonus, Babinski sign, Lower limb spasticity |
Biomarker and diagnostic research for hereditary spastic paraplegia 29 has been reported in the published literature.
Phenotype severity distribution: 2 very common features, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary spastic paraplegia 29.
16 publications have been identified in PubMed for hereditary spastic paraplegia 29. Research spans Diagnostic / Biomarker (25%), Case Report / Case Series (19%), and Basic Science / Preclinical (19%).
Research Type | Count | % of Total |
|---|---|---|
Testing and diagnosis research | 4 | 25% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:42 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Kidneys and urinary system
4 |
Urinary urgency, Urinary incontinence, Urinary hesitancy |
Arms and legs | 4 | Lower limb spasticity, Upper limb spasticity, Lower limb hyperreflexia |
Lab test results | 2 | Neonatal hyperbilirubinemia, Hyperbilirubinemia |
Ears | 2 | Inner ear hearing loss (sensorineural hearing impairment), Hearing loss (hearing impairment) |
Digestive system | 1 | Vomiting |
Pregnancy and birth | 1 | Neonatal hyperbilirubinemia |
Patient case studies
3 |
19% |
Laboratory research | 3 | 19% |
Disease patterns and progression | 3 | 19% |
Clinical study results | 2 | 13% |
Research summaries | 1 | 6% |
McClelland P (2026). [PMID: 41634041](https://pubmed.ncbi.nlm.nih.gov/41634041/). *Nature communications*. [Basic Science / Preclinical]
Carretero-Vilarroig L (2026). [PMID: 41560358](https://pubmed.ncbi.nlm.nih.gov/41560358/). *European journal of neurology*. [Clinical Trial Publication]
Koch V (2025). [PMID: 40474269](https://pubmed.ncbi.nlm.nih.gov/40474269/). *Journal of neuroengineering and rehabilitation*. [Review / Meta-Analysis]
Agianda HAP (2025). [PMID: 41365832](https://pubmed.ncbi.nlm.nih.gov/41365832/). *Movement disorders : official journal of the Movement Disorder Society*. [Epidemiology / Natural History]
Khosravi S (2025). [PMID: 40028680](https://pubmed.ncbi.nlm.nih.gov/40028680/). *Movement disorders clinical practice*. [Case Report / Case Series]
Watanabe K (2025). [PMID: 40841583](https://pubmed.ncbi.nlm.nih.gov/40841583/). *Journal of human genetics*. [Diagnostic / Biomarker]
Jeyakumar H (2025). [PMID: 40598191](https://pubmed.ncbi.nlm.nih.gov/40598191/). *Orphanet journal of rare diseases*. [Diagnostic / Biomarker]
Assaedi E (2025). [PMID: 40322871](https://pubmed.ncbi.nlm.nih.gov/40322871/). *Movement disorders clinical practice*. [Epidemiology / Natural History]
Lallemant-Dudek P (2025). [PMID: 39704400](https://pubmed.ncbi.nlm.nih.gov/39704400/). *European journal of neurology*. [Clinical Trial Publication]
de Vries BS (2025). [PMID: 40388677](https://pubmed.ncbi.nlm.nih.gov/40388677/). *Neurology*. [Basic Science / Preclinical]