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Living with Autosomal recessive spinocerebellar ataxia 16

A rare inherited condition with slowly worsening balance problems that can start from childhood to adulthood.

Understanding Autosomal recessive spinocerebellar ataxia 16

Autosomal recessive spinocerebellar ataxia 16 is a rare hereditary ataxia with slowly worsening trunk and limb coordination problems.

The coordination problems lead to unsteady walking. People can also have unclear speech, trouble swallowing, shaky eye movements, leg stiffness, mild nerve damage affecting feeling, thinking changes, and an older-looking appearance. Onset ranges from childhood to adulthood.

Signs & symptoms

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

  • Unsteady walk and balance problems
  • Poor limb and trunk coordination
  • Shrinking of the cerebellum
  • Unclear speech (dysarthria)
  • Overactive reflexes
  • Older-looking facial appearance (progeroid)

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 STUB1 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); 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
Can genetic testing for the STUB1 gene confirm the diagnosis?
Which therapies can help with balance and walking?
Should thinking and memory be checked over time?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Recessive
GenesSTUB1

It is caused by changes in the STUB1 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive cerebellar ataxia caused by mutation in stub1; autosomal recessive cerebellar ataxia due to stip1 homology and u-box containing protein 1 deficiency; autosomal recessive cerebellar ataxia due to stub1 (stip1 homology and u-box containing protein 1) deficiency; autosomal recessive cerebellar ataxia due to stub1 deficiency; autosomal recessive spinocerebellar ataxia type 16; scar16

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Autosomal recessive spinocerebellar ataxia 16GARD ID 17689 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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