“…They are generally characterized by progressive and length-dependent degeneration of distal retrograde axons of the corticospinal tracts (CST) and posterior columns of the spinal cord. [1][2][3] Clinically, these conditions share the primary symptoms of progressive spasticity, hyperreflexia and mild weakness of the lower limbs in the "Pure" form. In the "complicated/complex" form, additional symptoms such as peripheral nerve involvement, extrapyramidal disturbances, cerebellar ataxia, polyneuropathy, cognitive impairment, optic atrophy and seizures might be added.…”