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Living with Neuronal intranuclear inclusion disease

A slowly worsening nervous system condition that can affect balance, movement, thinking, and behavior at different ages.

Understanding Neuronal intranuclear inclusion disease

Neuronal intranuclear inclusion disease (NIID) is a slowly progressive condition of the nervous system.

NIID may affect any part of the nervous system and various organs. People may have trouble with balance, movement, thinking, communication, and behavior. Limb weakness and poor coordination are more common in children. Dementia is more common in people diagnosed as adults. It is caused by abnormal masses (inclusions) inside nerve cells.

Signs & symptoms

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

  • Poor coordination (ataxia)
  • Memory and thinking decline (dementia)
  • Slurred speech (dysarthria)
  • Behavior changes
  • Seizures
  • Curved spine (scoliosis)

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 NOTCH2NLC 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, The Foundation for Peripheral Neuropathy and Dysautonomia International 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: National Ataxia Foundation, The Foundation for Peripheral Neuropathy, 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 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
Should we have genetic testing for the NOTCH2NLC gene?
Which treatments can help with movement and memory?
Should family members be tested?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesNOTCH2NLC

A genetic change in the NOTCH2NLC gene has been found to cause NIID. The condition is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: niid

Patient organizations

Source: NIH GARD · Neuronal intranuclear inclusion diseaseGARD ID 3971 · 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 Neuronal intranuclear inclusion disease.

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