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Living with Hypomyelinating leukodystrophy 6

A nervous system condition, also called TUBB4A-related leukodystrophy, with too little myelin and movement problems from infancy or childhood.

Understanding Hypomyelinating leukodystrophy 6

Hypomyelinating leukodystrophy 6, or TUBB4A-related leukodystrophy, is a condition that affects the nervous system's white matter.

White matter is made of nerve fibers covered by myelin, which helps nerve signals travel quickly. In this condition the body makes too little myelin, and it may break down. People have different combinations of symptoms. A more severe type, H-ABC, begins in infancy or early childhood. It brings delayed motor skills, or lost skills, movement problems such as dystonia, stiffness, and poor coordination, and speech and swallowing difficulty.

Signs & symptoms

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

  • Delayed motor skills
  • Loss of learned skills
  • Involuntary muscle contractions (dystonia)
  • Poor coordination (ataxia)
  • Speech difficulty (dysarthria)
  • Tremor and muscle stiffness

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 TUBB4A 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

    United Leukodystrophy 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: United Leukodystrophy 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 Foundation to Fight H-ABC 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
Which type of TUBB4A-related leukodystrophy is this?
Which therapies help with movement and swallowing?
Would genetic testing for TUBB4A help our family?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant, Autosomal Recessive
GenesTUBB4A

Changes in the TUBB4A gene cause this condition. GARD lists autosomal dominant and autosomal recessive inheritance.

GeneticNeurological

Also known as: h-abc; h-abc - hypomyelination, atrophy of basal ganglia and cerebellum; habc; hld6; hypomyelinating leukodystrophy type 6; hypomyelinating leukodystrophy with atrophy of basal ganglia and cerebellum

Patient organizations

Source: NIH GARD · Hypomyelinating leukodystrophy 6GARD ID 10917 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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