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Living with Ataxia-pancytopenia syndrome

A rare genetic condition that affects balance and coordination and the blood-forming cells in the bone marrow.

Understanding Ataxia-pancytopenia syndrome

Ataxia-pancytopenia syndrome is a rare genetic condition that affects the part of the brain that coordinates movement and the blood-forming cells in the bone marrow.

The age it begins, how severe it is, and how fast it worsens vary. Nerve problems include poor balance and coordination (ataxia), trouble judging distance, and involuntary eye movements, and they worsen over time. Low blood counts (pancytopenia) can cause tiredness, frequent infections, and bleeding. It is also linked to a higher chance of some blood cancers.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Poor balance and coordination (ataxia)
  • Unsteady walking
  • Involuntary rapid eye movements (nystagmus)
  • Low red blood cells (anemia)
  • Frequent respiratory infections
  • Enlarged spleen

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SAMD9L are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Ataxia Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should my blood counts be checked?
Which specialists, such as a blood doctor and a nerve doctor, should be on my team?
Would SAMD9L testing help relatives?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant
GenesSAMD9L

GARD says changes in the SAMD9L gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: ataxia pancytopenia syndrome; atxpc; myelocerebellar disorder

Patient organizations

Source: NIH GARD · Ataxia-pancytopenia syndromeGARD ID 3865 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Ataxia-pancytopenia syndrome.

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Explore actively recruiting Ataxia-pancytopenia syndrome studies with HealthSpark.

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