This study presents a family with a syndromic form of X-linked mental retar
dation in which four males in two generations present severe mental retarda
tion, slowly progressive spastic paraplegia, facial hypotonia, and maxillar
y hypoplasia. Multipoint linkage analysis with 24 highly polymorphic marker
s indicated two possible candidate regions: Xp21.1-Xq21.3 (flanking markers
DXS1214 and DXS990) and Xq23-Xq27.1 (flanking markers DXS8020 and DXS984).
The two known loci for X-linked mental retardation and spastic paraplegia
are excluded: proteolipid protein in Xp21 and L1 cell adhesion molecule in
Xq28, Therefore, the syndrome in this family appears to represent a previou
sly undescribed X-linked spastic paraplegia-mental retardation syndrome. (C
) 2000 Wiley-Liss, Inc.