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Living with Multiple system atrophy

A progressive brain condition that affects movement, balance, and body functions like blood pressure, usually starting in adulthood.

Understanding Multiple system atrophy

Multiple system atrophy is a progressive brain condition that affects movement and balance and disrupts the autonomic nervous system.

The autonomic nervous system controls body functions we don't think about, like blood pressure. There are two main types. MSA-P mostly causes slow movement, stiff muscles, and tremors. MSA-C mostly causes poor coordination and balance, and can cause speech problems. It usually appears in older adults, on average around age 55, and gets worse over time.

Signs & symptoms

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

  • Blood pressure drop when standing (orthostatic hypotension)
  • Bladder problems
  • Balance problems and frequent falls
  • Trouble coordinating walking (gait ataxia)
  • Slurred or hard-to-form speech (dysarthria)
  • Constipation

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.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Defeat MSA Alliance, CurePSP and Dysautonomia International may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: Defeat MSA Alliance, CurePSP, Dysautonomia International
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 Defeat MSA Alliance 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 multiple system atrophy do I have: MSA-P or MSA-C?
How can we manage dizziness when I stand up?
Which specialists should I see for movement, bladder, and sleep problems?

Quick facts

Symptoms usually startAdult

GARD doesn't describe a cause for this condition yet.

Neurological

Also known as: msa; msa - multiple system atrophy; multisystem atrophy; shy-drager syndrome

Patient organizations

Source: NIH GARD · Multiple system atrophyGARD ID 7079 · 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 Multiple system atrophy.

Explore the Multiple system atrophy blog

Explore research for Multiple system atrophy

Explore actively recruiting Multiple system atrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Multiple system atrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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