Primary lateral sclerosis

General Information (adopted from Orphanet):

Synonyms, Signs: PLS, ADULT
PLS
PLSA1
PLSA
Adult-onset PLS
Adult-onset primary lateral sclerosis
Number of Symptoms 15
OrphanetNr: 35689
OMIM Id: 611637
ICD-10: G12.2
UMLs:
MeSH:
MedDRA: 10036704
Snomed: 81211007

Prevalence, inheritance and age of onset:

Prevalence: 1.5 of 100 000 [Orphanet]
Inheritance: Autosomal recessive
Not applicable
[Orphanet]
Age of onset: All ages
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Genetic neurodegenerative disease
 -Rare genetic disease
Motor neuron disease
 -Rare neurologic disease
Rare neurodegenerative disease
 -Rare neurologic disease

Symptom Information: Sort by abundance 

1
(HPO:0002015) Dysphagia 301 / 7739
2
(HPO:0002464) Spastic dysarthria 5 / 7739
3
(HPO:0002064) Spastic gait 46 / 7739
4
(HPO:0001285) Spastic tetraparesis 29 / 7739
5
(HPO:0001347) Hyperreflexia 363 / 7739
6
(HPO:0002127) Abnormal upper motor neuron morphology 15 / 7739
7
(HPO:0003487) Babinski sign 179 / 7739
8
(HPO:0000006) Autosomal dominant inheritance 2518 / 7739
9
(HPO:0003581) Adult onset 117 / 7739
10
(OMIM) No sensory abnormalities 5 / 7739
11
(OMIM) Spinal cord atrophy 2 / 7739
12
(OMIM) Spasticity of lower and upper limbs 3 / 7739
13
(OMIM) Bulbar spasticity 1 / 7739
14
(HPO:0003677) Slow progression 134 / 7739
15
(OMIM) Absence of lower motor neuron involvement 2 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Although primary lateral sclerosis (PLS) is similar to amyotrophic lateral sclerosis (ALS; 105400), they are considered to be clinically distinct progressive paralytic neurodegenerative disorders. Following a period of diagnostic confusion, the clinical distinction between ALS and PLS became ...
Clinical Description OMIM Pringle et al. (1992) reported 8 unrelated patients with adult-onset sporadic PLS and suggested diagnostic criteria. Clinical features were limited to those associated with the descending motor tracts and included spastic tetraparesis, pseudobulbar affect, spastic dysarthria, hyperreflexia, and ...
Molecular genetics OMIM - Exclusion Studies

Brugman et al. (2007) found no mutations in the ALS2 gene among 51 presumably unrelated Dutch patients with adult-onset PLS.

In a large French Canadian family with adult PLS, Valdmanis et ...