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Living with Autosomal dominant cerebellar ataxia

A group of inherited conditions that cause poor balance and coordination from changes in the cerebellum of the brain.

Understanding Autosomal dominant cerebellar ataxia

Autosomal dominant cerebellar ataxia (ADCA) is a group of inherited conditions that mainly cause poor movement coordination (ataxia).

The most common symptom is a jerky, unsteady walk. Hand coordination and speech clarity are also affected. The area of the brain controlling balance and movement shrinks (cerebellar atrophy), which shows on brain imaging. ADCAs include the autosomal dominant spinocerebellar ataxias, all of the episodic ataxias, and one dominant type of spastic ataxia. It can begin at any time in life.

Signs & symptoms

GARD says symptoms vary by type. The most common is:

  • Poor movement coordination (ataxia)
  • Jerky, unsteady walking
  • Poor hand coordination
  • Unclear speech (dysarthria)
  • Shrinking of the cerebellum on brain scans

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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
Which type of ataxia do I have?
Would genetic testing identify the gene?
Which therapies help with balance and speech?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

GARD says changes in many different genes are known to cause different types, and more genes are still being found. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: adca; autosomal dominant hereditary ataxia; autosomal dominant spinocerebellar ataxia; cerebellar ataxia, autosomal dominant; spinocerebellar ataxia, dominant

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Autosomal dominant cerebellar ataxiaGARD ID 4346 · 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 Autosomal dominant cerebellar ataxia.

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