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Living with Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndrome

A rare genetic condition that affects balance, walking, speech, and nerves, usually starting in adulthood.

Understanding Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndrome

Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndrome (CANVAS) is a rare genetic condition that affects balance, coordination, and nerves.

People may have trouble walking (ataxia) and speaking (dysarthria), poor arm and leg coordination, and involuntary eye movements (nystagmus). They may have balance and spatial awareness problems, nerve damage, a chronic cough, or problems with the autonomic nervous system. It usually starts in adulthood.

Signs & symptoms

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

  • Trouble walking (gait ataxia)
  • Slurred speech (dysarthria)
  • Absent tendon reflexes
  • Nerve damage (peripheral neuropathy)
  • Shaky movements when reaching (intention tremor)
  • Trouble with fast, alternating movements

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RFC1 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, Friedreich's Ataxia Research Alliance (FARA) and National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: A-T Children's Project, Friedreich's Ataxia Research Alliance (FARA), 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 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
Can RFC1 genetic testing confirm the diagnosis?
What therapies can help with balance and falls?
Which specialists should follow the nerve and autonomic symptoms?

Quick facts

Symptoms usually startAdult and as an Older Adult
InheritanceAutosomal Recessive
GenesRFC1

Changes in the RFC1 gene cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: cabv (cerebellar ataxia, bilateral vestibulopathy) syndrome; cabv syndrome; canvas; canvas - cerebellar ataxia, neuropathy, vestibular areflexia syndrome; cerebellar ataxia with bilateral vestibulopathy syndrome; cerebellar ataxia, neuropathy, and vestibular areflexia syndrome

Patient organizations

Source: NIH GARD · Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndromeGARD ID 17937 · 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 Cerebellar ataxia with neuropathy and bilateral vestibular areflexia syndrome.

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