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Living with Dystonia 9

A rare inherited condition with episodes of sudden, involuntary movements brought on by exercise or stress, starting in childhood.

Understanding Dystonia 9

Dystonia 9 is a rare inherited condition that causes episodes of involuntary movements (paroxysmal choreoathetosis) starting in childhood or adolescence.

Episodes are triggered mainly by sudden movement, long exercise, anxiety, and emotional stress. They last from a few minutes to hours and are relieved by rest. They may happen daily or only yearly, and tend to become less frequent with age. Other features can include stiff legs in adulthood, unsteady walking, mild to moderate thinking difficulties, and seizures.

Signs & symptoms

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

  • Episodes of twisting, writhing movements
  • Muscle tightening (dystonia)
  • Episodic unsteadiness (ataxia)
  • Trouble speaking (dysarthria)
  • Double vision
  • Stiff legs (spastic paraplegia)

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 SLC2A1 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

    Dystonia Medical Research 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: Dystonia Medical Research 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 Dystonia Medical Research 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
Would genetic testing for the SLC2A1 gene help our family?
What triggers should I try to avoid?
What treatments are available for the episodes?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesSLC2A1

GARD says changes in the SLC2A1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurological

Also known as: choreoathetosis, kinesigenic, with episodic ataxia and spasticity; dystonia type 9; dyt9; episodic choreoathetosis/spasticity; paroxysmal dystonic choreathetosis with episodic ataxia and spasticity; paroxysmal dystonic choreoathetosis with episodic ataxia and spasticity

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Dystonia 9GARD ID 16656 · 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 Dystonia 9.

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