complex hereditary spastic paraplegia autosomal recessive spastic paraplegia type 67 https://github.com/monarch-initiative/mondo/issues/6752 https://github.com/monarch-initiative/mondo/issues/6877 https://github.com/monarch-initiative/mondo/issues/6878 https://www.malacards.org/card/autosomal_recessive_spastic_paraplegia_type_67 SCTID:766767001 GARD:0021698 MEDGEN:1644708 UMLS:C4707829 Orphanet:401820 Autosomal recessive spastic paraplegia type 67 is an extremely rare, complex hereditary spastic paraplegia characterized by an infancy or childhood onset of global developmental delay and progressive spasticity with tremor in the distal limbs, increased deep tendon reflexes and extensor plantar responses, which may be associated with mild intellectual disability. Additional features include muscle wasting and cerebellar abnormalities. SPG67 MONDO:0018419