hereditary spastic paraplegia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Main manifestations: progressive lower limb weakness, hyperreflexia, Babinski sign, gait disturbance, with or without sphincter and autonomic dysfunction, with or without a positive family history; 2. Genetic analysis to confirm the diagnosis of hereditary spastic paraplegia; 3. Brain and spinal cord MRI to exclude cerebral palsy, multiple system atrophy, adrenoleukodystrophy, multiple sclerosis, primary lateral sclerosis, tumor, cerebrovascular disease, trauma and spastic paraplegia caused by structural abnormalities of the central nervous system; 4. Aged 22-65 years; 5. Diagnosed for more than one year, spastic paraplegia with progressing or no improvement after at least 6 months conservative treatment; 6. No use of botulinum toxin within 6 months, no use of baclofen or other muscle relaxers within 2 weeks; 7. Willing to undergo regular follow-up and related evaluation; 8. Competence to decide to enroll and sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Severe cardiopulmonary diseases or other serious diseases that are not suitable for surgery; 2. Unhealed fractures, severe muscle contracture, muscle pain, hemorrhoids or urinary tract infection that might interfere with postoperative rehabilitation; 3. Clinical significant psychiatric illnesses or substance abuse; 4. Pregnancy; 5. Dementia, Parkinson's disease or epilepsy; 6. Coma; 7. Osteoporosis; 8. Depression; 9. Mechanical ventilation; 10. Active implanted cardiac pacemaker or defibrillator; 11. Paralysis of the lower limbs caused by spinal cord trauma; 12. Lower limb paraplegia after spinal spinal surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spastic Paraplegia Rating Scale (SPRS);spasticity;Electrophysiology; | — |
Secondary
| Measure | Time frame |
|---|---|
| Health Status Questionnaire (SF-36);Berg balance scale;Change in blood pressure;Gait analysis;Neurogenic bowel dysfunction score;Neurogenic bladder symptom score;Visual Analogue Scal;sex function questionnaire; | — |
Countries
China
Contacts
Beijing Tiantan Hospital, Capital Medical University