Hereditary spastic paraplegia (HSP): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hereditary spastic paraplegia (HSP): differential diagnosis. Dopa-responsive dystonia (DRD). Fully referenced neurology checklist.

Neurodegenerative differentials

  • Dopa-responsive dystonia (DRD)
  • Motor neurone disease (MND): primary lateral sclerosis (PLS)
  • Spinocerebellar ataxia (SCA)
  • Friedreich’s ataxia (FA)

Inflammatory and infective differentials

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Nutritional and metabolic differentials

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Structural and vascular differentials

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Other differentials

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Terminology

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References

  1. Salinas S, Proukakis C, Crosby A, Warner TT. Hereditary spastic paraplegia: clinical features and pathogenetic mechanisms. Lancet Neurol 2008; 7:1127-1138.
  2. Miller DH, Leary SM. Primary-progressive multiple sclerosis. Lancet Neurol 2007; 6:903-912.
  3. Warner T. Hereditary spastic paraplegia. ACNR 2007; 6: 16-17.
  4. Hensiek A, Kirker S, Reid E. Diagnosis, investigation and management of hereditary spastic paraplegias in the era of next-generation sequencing. J Neurol 2015; 262:1601-1612.
  5. Fukushima T, Shirota M, Waragai M, et al. Spinal endoscopic biopsy in the diagnosis of central nervous system neurosarcoidosis. JNNP 2006; 77:702.
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