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Living with Episodic ataxia type 1

An inherited condition with short episodes of poor balance and coordination, plus muscle stiffness or twitching.

Understanding Episodic ataxia type 1

Episodic ataxia type 1 (EA1) is an inherited condition with short periods of uncoordinated movement.

It can also cause muscle stiffness (neuromyotonia) and muscle twitching between episodes (myokymia). It usually begins in childhood or the teen years.

Signs & symptoms

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

  • Poor balance and clumsiness
  • Muscle twitching (myokymia)
  • Muscle stiffness or spasms
  • Slurred speech (dysarthria)
  • Dizzy spells (vertigo)
  • Blurred or double vision

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 and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in KCNA1 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 and Epilepsy Foundation 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)
Expert care
Expert lists: National Ataxia Foundation, Epilepsy 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 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 genetic testing for the KCNA1 gene confirm this diagnosis?
What triggers episodes, and can I avoid them?
Which treatments can reduce episodes?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant
GenesKCNA1

Changes in the KCNA1 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticNeurological

Also known as: acetazolamide-responsive periodic ataxia; ataxia, episodic, with myokymia; continuous muscle fiber activity; ea1; episodic ataxia type 1 (ea1); episodic ataxia with myokymia

Patient organizations

Source: NIH GARD · Episodic ataxia type 1GARD ID 16641 · 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 Episodic ataxia type 1.

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