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Living with Autosomal recessive ataxia due to ubiquinone deficiency

An inherited condition with balance and coordination problems that begin in childhood.

Understanding Autosomal recessive ataxia due to ubiquinone deficiency

Autosomal recessive ataxia due to ubiquinone deficiency is an inherited condition with balance and coordination problems that get worse over time, starting in childhood.

It involves shrinking of the cerebellum, the part of the brain that coordinates movement. Features can include low muscle tone, muscle weakness in the upper arms and legs, and trouble exercising. Some children lose skills they had gained, and learning is affected.

Signs & symptoms

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

  • Slowly worsening balance and coordination problems
  • Shrinking of the cerebellum
  • Low muscle tone (hypotonia)
  • Weakness in upper arm and leg muscles
  • Trouble exercising for as long as usual
  • Loss of developmental skills (regression)

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in COQ8A 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, Epilepsy Foundation and United Mitochondrial Disease Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: National Ataxia Foundation, Epilepsy Foundation, United Mitochondrial Disease 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
Can genetic testing for the COQ8A gene confirm the diagnosis?
Which specialists should follow movement and development?
How can we support learning and daily activities?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive, Mitochondrial
GenesCOQ8A

It is caused by changes in the COQ8A gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: arca2; arca2 - autosomal recessive cerebellar ataxia type 2; autosomal recessive ataxia due to coenzyme q10 deficiency; autosomal recessive cerebellar ataxia type 2; autosomal recessive spinocerebellar ataxia type 9; cabc1-related coenzyme q10 deficiency

Patient organizations

Source: NIH GARD · Autosomal recessive ataxia due to ubiquinone deficiencyGARD ID 10294 · 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 recessive ataxia due to ubiquinone deficiency.

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