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Living with Ataxia-telangiectasia-like disorder 1

A rare genetic condition with slowly worsening balance and coordination problems and extra sensitivity to radiation.

Understanding Ataxia-telangiectasia-like disorder 1

Ataxia-telangiectasia-like disorder 1 is a rare genetic disease that causes slowly worsening loss of coordination from degeneration of the cerebellum.

It causes ataxia (poor balance and coordination), trouble starting eye movements (oculomotor apraxia), and other cerebellar problems. People have more chromosome changes than usual and are very sensitive to ionizing radiation. Unlike ataxia-telangiectasia, it does not cause telangiectasia (small clusters of enlarged blood vessels). It is noticed in newborns and infants.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Trouble starting eye movements (oculomotor apraxia)
  • Unclear speech (dysarthria)
  • Involuntary movements (chorea, dystonia)
  • Tremor when reaching
  • Low muscle tone

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, cancer specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in MRE11 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); Cancer specialists (oncologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 and other patient organizations
  • 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 should we limit radiation exposure, including medical imaging?
Which therapies can help speech and coordination?
Would MRE11 testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesMRE11

GARD says changes in the MRE11 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: ataxia - telangiectasia-like disorder caused by mutation in mre11; ataxia-telangiectasia-like disorder caused by mutation in mre11; atld; atld1; mre11 ataxia - telangiectasia-like disorder; mre11 ataxia-telangiectasia-like disorder

Patient organizations

Source: NIH GARD · Ataxia-telangiectasia-like disorder 1GARD ID 17209 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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