However, cerebellar atrophy can also be found in some subtypes of HSPs such as SPG5A (22), SPG7 (20, 23), SPG11 (23, 24), SPG15 (25), SPG20 (26), SPG30 (27), SPG39 (28), and SPG46 (29). Here, SPG11 is linked to Cerebellar atrophy.