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Living with Ataxia - telangiectasia variant

A rare genetic condition similar to ataxia-telangiectasia, but starting later in life and progressing more slowly.

Understanding Ataxia - telangiectasia variant

Ataxia-telangiectasia variant is a rare genetic condition with signs similar to ataxia-telangiectasia but a later start, usually in adulthood, and slower progression.

It usually starts with movement symptoms such as resting tremor, writhing movements (choreoathetosis), and dystonia (involuntary muscle contractions). Mild ataxia may follow, though walking is usually preserved. Telangiectasia (small clusters of enlarged blood vessels) and immune problems may be absent, but cancer risk, unclear speech, and nerve damage are common.

Signs & symptoms

GARD doesn't list a symptom list for this condition, but its summary describes these features:

  • Resting tremor
  • Writhing movements (choreoathetosis)
  • Involuntary muscle contractions (dystonia)
  • Mild balance and coordination problems
  • Unclear speech (dysarthria)
  • Nerve damage in the limbs (peripheral neuropathy)

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 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

    Dystonia Medical Research 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: Dystonia Medical Research 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 Dystonia Medical Research 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 is this variant different from classic ataxia-telangiectasia for me?
Should I limit radiation exposure, including medical imaging?
Would ATM testing help my relatives?

Quick facts

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.

GeneticNeurological

Also known as: ataxia telangiectasia variant; ataxia-telangiectasia variant; v-at; v-at - ataxia telangiectasia variant

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Ataxia - telangiectasia variantGARD ID 21597 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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