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Living with Episodic ataxia type 2

An inherited condition with episodes of poor balance and coordination lasting hours, often with dizziness.

Understanding Episodic ataxia type 2

Episodic ataxia type 2 (EA2) is an inherited condition with episodes of poor coordination that last hours.

Between episodes, people may have rapid eye movements (nystagmus) and mild balance trouble that slowly gets worse. It usually begins in childhood.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Dizzy spells (vertigo)
  • Fast, rhythmic eye movements (nystagmus)
  • Slurred speech (dysarthria)
  • Migraine
  • Nausea and vomiting

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 CACNA1A 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

    CACNA1A Foundation and 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: CACNA1A Foundation, 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 CACNA1A 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 CACNA1A gene confirm this diagnosis?
Which treatments can help prevent episodes?
How should we handle migraines and dizziness?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesCACNA1A

Changes in the CACNA1A 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 hereditary paroxysmal cerebellar ataxia; ataxia, episodic, with nystagmus; ataxia, familial paroxysmal; cacna1a hereditary episodic ataxia; cerebellar ataxia, paroxysmal, acetazolamide-responsive; cerebellopathy, hereditary paroxysmal

Patient organizations

Source: NIH GARD · Episodic ataxia type 2GARD ID 9602 · 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 2.

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