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hereditary
/həˈrɛdəˌtɛri/
spastic
/ˈspæstɪk/
paraplegia
/ˌpɛrəˈpliʤiə/
31
31
Description
hereditary spastic paraplegia 31    30 years). In some cases, it can present as a complex phenotype with additional associated manifestations including peripheral neuropathy, bulbar palsy (with dysarthria and dysphagia), distal amyotrophy, and impaired distal vibration sense.

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