hereditary spastic paraplegia 41 https://github.com/monarch-initiative/mondo/issues/6752 https://www.malacards.org/card/spastic_paraplegia_41_autosomal_dominant DOID:0110793 SCTID:763069002 MEDGEN:854815 hereditary spastic paraplegia type 41 MONDO:0013239 spastic paraplegia 41, autosomal dominant UMLS:C3888208 autosomal dominant spastic paraplegia type 41 SPG41 Autosomal dominant spastic paraplegia type 41 is a pure form of hereditary spastic paraplegia characterized by onset in adolescence or early adulthood of slowly progressive spastic paraplegia, proximal muscle weakness of the lower extremities and small hand muscles, hyperreflexia, spastic gait and mild urinary compromise. Orphanet:320355 OMIM:613364 GARD:0017471 pure hereditary spastic paraplegia