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Living with Chorea-acanthocytosis

A nervous system condition that causes involuntary jerking and twisting movements, along with star-shaped red blood cells.

Understanding Chorea-acanthocytosis

Chorea-acanthocytosis is mainly a neurological disorder that affects movement and comes with abnormal, star-shaped red blood cells (acanthocytosis).

Chorea means involuntary jerking movements. Muscle tensing (dystonia) can affect the limbs, face, mouth, tongue, and throat, which can make eating and speaking hard. Nearly half of people have seizures. Behavior changes can be the first sign. Symptoms usually begin in early to mid-adulthood.

Signs & symptoms

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

  • Involuntary jerking movements (chorea)
  • Muscle tensing in the limbs or throat (dystonia)
  • Behavior changes
  • Motor tics
  • Muscle weakness and wasting
  • Falls and poor coordination

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, seizure and epilepsy specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in VPS13A 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

    Epilepsy Foundation and The Foundation for Peripheral Neuropathy 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); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Epilepsy Foundation, The Foundation for Peripheral Neuropathy
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 Neuroacanthocytosis Advocacy USA 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 VPS13A genetic testing confirm the diagnosis?
What can help with eating, swallowing, and biting of the tongue or lips?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive
GenesVPS13A

GARD says changes in the VPS13A gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: acanthocytosis with neurologic disorder; chac; choreaacanthocytosis; choreo-acanthocytosis; choreoacanthocytosis; levine-critchley syndrome

Patient organizations

Source: NIH GARD · Chorea-acanthocytosisGARD ID 3956 · 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 Chorea-acanthocytosis.

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Explore actively recruiting Chorea-acanthocytosis studies with HealthSpark.

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