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Living with Ataxia-telangiectasia syndrome

A rare inherited condition that affects the nervous system and immune system, causing worsening coordination problems from early childhood.

Understanding Ataxia-telangiectasia syndrome

Ataxia-telangiectasia is a rare inherited disorder that affects the nervous system, the immune system, and other body systems.

Coordination problems (ataxia) usually begin before age 5 and often lead to the need for a wheelchair by the teen years. People also have slurred speech, trouble moving the eyes side to side, and small clusters of enlarged blood vessels in the eyes and skin. The immune system is often weakened, with chronic lung infections. People have a higher risk of cancers of the blood and immune system, and are very sensitive to radiation, including medical x-rays. GARD says there is no cure, but treatments such as physical and speech therapy and immune and nutrition support may help.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Slurred speech
  • Eye movement problems
  • Weakened immune system
  • Delayed puberty
  • Small clusters of enlarged blood vessels (telangiectasia)

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 allergy and immune system specialists, brain and nervous system specialists, cancer specialists and eye disease specialists.

  3. Consider genetic testing

    Changes in ATM 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

    A-T Children's Project, National Ataxia Foundation and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); Eye disease specialists (ophthalmologists)
Expert care
Expert lists: A-T Children's Project, National Ataxia Foundation, Epilepsy 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 A-T Children's Project 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 avoid or limit radiation, including x-rays?
Which therapies and nutrition support could help?
How should immune function and infections be monitored?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesATM

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

GeneticNeurologicalEndocrineSkinUrinary and Reproductive

Also known as: at; at, complementation group c; ataxia - telangiectasia; ataxia telangiectasia; ataxia telangiectasia (a-t); ataxia telangiectasia syndrome

Patient organizations

Source: NIH GARD · Ataxia-telangiectasia syndromeGARD ID 5862 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Ataxia-telangiectasia syndrome

Explore actively recruiting Ataxia-telangiectasia syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Ataxia-telangiectasia syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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