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Hereditary spastic paraplegia with dementia


Pridmore, S and Rao, G and Abusah, P, Hereditary spastic paraplegia with dementia, Australian and New Zealand of Psychiatry, 29, (4) pp. 678-682. ISSN 0004-8674 (1995) [Refereed Article]

DOI: doi:10.3109/00048679509064985


Objective: Hereditary spastic paraplegia (HSP) with dementia is a very rare condition. The aim of the paper is to present the first report of HSP in a Fijian indian family. Method: A psychiatrist and a general physician examined the affected members of the family on five occasions over three years. Results: There are three affected individuals in a sibship of seven. The parents are without symptoms and the marriage is non-consanguineous. The course of the disease has been remarkably similar. All subjects were healthy and performing well in the early years of school. In two, symptoms of cognitive loss preceded difficulty with ambulation and in the third, these symptoms appeared concurrently. All subjects had both symptoms by 13 years of age; they were unable to ambulate independently by the mid to late teens, at which time there was dysarthria spastic paraplegia and dementia. One subject suffered a three month episode of hypomanic behaviour. Over the three-year study period deterioration was slight but noticeable. Conclusions: It is possible that HSP is more commonly associated with pre-senile dementia than is currently recognised. HSP with dementia is a very rare cause of failing school performance. Physical examination of the patient and other family members is indicated if this diagnosis is being considered.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Other health
Objective Field:Other health not elsewhere classified
UTAS Author:Pridmore, S (Professor Saxby Pridmore)
ID Code:5697
Year Published:1995
Web of Science® Times Cited:7
Deposited By:Clinical Sciences
Deposited On:1995-08-01
Last Modified:2011-08-25

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