The first Italian family with evidence of pyramidal impairment as phenotypic manifestation of Silver syndrome BSCL2 gene mutation

Neurol Sci. 2008 Jun;29(3):189-91. doi: 10.1007/s10072-008-0937-y. Epub 2008 Jul 9.


Silver syndrome (SPG17) is a rare form of hereditary spastic paraparesis. Its relationship to distal hereditary motor neuropathy (dHMN) type V is underlined by the recent discovery of causative mutation in BSCL2 gene coding for a protein termed seipin, an integral membrane protein of endoplasmic reticulum, with unknown function. Here we report the third Italian family with dHMN and SPG17 in which two affected members harbor the heterozygous N88S mutation in the BSCL2 gene. The proband developed a severe paraparetic spastic gait, while, in the other Italian families reported so far, no signs of upper motor neuron involvement were observed. This family confirms the clinical heterogeneity associated with this specific mutation. Moreover, this is the first report in which neuroimaging seems to confirm the pyramidal alterations in dHMN associated to SPG17.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain / pathology
  • Brain / physiopathology
  • DNA Mutational Analysis
  • Disease Progression
  • Female
  • GTP-Binding Protein gamma Subunits / genetics*
  • Genetic Markers / genetics
  • Genetic Predisposition to Disease / genetics
  • Genetic Testing
  • Genotype
  • Hereditary Sensory and Motor Neuropathy / genetics*
  • Hereditary Sensory and Motor Neuropathy / physiopathology
  • Heterozygote
  • Humans
  • Italy
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Movement Disorders / genetics*
  • Movement Disorders / physiopathology
  • Muscular Atrophy / genetics
  • Muscular Atrophy / physiopathology
  • Mutation / genetics
  • Peripheral Nerves / physiopathology
  • Phenotype
  • Pyramidal Tracts / physiopathology*
  • Rare Diseases
  • Spastic Paraplegia, Hereditary / genetics*
  • Spastic Paraplegia, Hereditary / physiopathology
  • Syndrome


  • BSCL2 protein, human
  • GTP-Binding Protein gamma Subunits
  • Genetic Markers