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Living with Charlevoix-Saguenay spastic ataxia

An inherited condition that affects muscle movement, causing stiffness, poor balance, and nerve damage in the arms and legs.

Understanding Charlevoix-Saguenay spastic ataxia

Charlevoix-Saguenay spastic ataxia, also called ARSACS, is an inherited condition that affects muscle movement.

People typically have tense, stiff muscles (spasticity), problems with balance and coordination (cerebellar ataxia), and reduced feeling and weakness in the arms and legs (peripheral neuropathy). Other muscle problems can include muscle wasting, eye shaking (nystagmus), and trouble swallowing and speaking. It can start at a variety of ages.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Trouble walking
  • Muscle stiffness (spasticity)
  • Babinski sign (a nerve reflex finding)
  • Cerebellum differences on brain scans
  • Differences in the pons (part of the brainstem)

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 SACS 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 SACS genetic testing confirm the diagnosis?
What therapy can help with balance, stiffness, and walking?
Should speech and swallowing be monitored?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesSACS

Changes in the SACS 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: arsacs; arsacs - autosomal recessive spastic ataxia of charlevoix-saguenay; autosomal recessive spastic ataxia of charlevoix-saguenay; autosomal recessive spastic ataxia type 6; sacs; spastic ataxia 6, autosomal recessive

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Charlevoix-Saguenay spastic ataxiaGARD ID 4910 · 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 Charlevoix-Saguenay spastic ataxia.

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