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Living with Gerstmann-Straussler-Scheinker syndrome

A rare inherited prion disease that slowly damages the part of the brain that controls balance and coordination, with memory and thinking changes.

Understanding Gerstmann-Straussler-Scheinker syndrome

Gerstmann-Straussler-Scheinker syndrome (GSS) is a type of prion disease that affects the nervous system.

Prion diseases are a group of conditions that affect the nervous system. The main feature of GSS is progressive damage to the cerebellum, the part of the brain that controls coordination, balance, and muscle tone, along with varying degrees of dementia. It usually starts in adulthood.

Signs & symptoms

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

  • Trouble with balance and coordinated walking (gait ataxia)
  • Dementia and mental decline
  • Difficulty speaking clearly (dysarthria)
  • Weakness in the legs
  • Pins and needles feelings (paresthesia)
  • Sleep problems

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 PRNP are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Creutzfeldt-Jakob Disease Foundation, Inc
  • 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 PRNP gene help my family?
Which specialists, such as neurologists, should follow this condition?
What support is available for balance, speech, and memory changes?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesPRNP

Changes in the PRNP gene cause this condition. It is inherited in an autosomal dominant way, which means one changed copy of the gene is enough.

GeneticNeurological

Also known as: cerebellar ataxia, progressive dementia, and amyloid deposits in cns; cerebellar ataxia, progressive dementia, and amyloid deposits in the central nervous system; encephalopathy subacute spongiform gerstmann-straussler type; gerstmann-straussler disease; gerstmann-straussler-scheinker disease; gsd

Patient organizations

Source: NIH GARD · Gerstmann-Straussler-Scheinker syndromeGARD ID 7690 · 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 Gerstmann-Straussler-Scheinker syndrome.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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