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Living with POLR3-related leukodystrophy

An inherited condition that affects the brain's white matter and other body parts, causing problems with movement and learning.

Understanding POLR3-related leukodystrophy

POLR3-related leukodystrophy is an inherited condition that affects the nervous system and other parts of the body.

Leukodystrophies affect the nervous system's white matter. In this one, the body makes too little myelin, the fatty coating that insulates nerve fibers. People usually have mild to severe intellectual disability that gradually worsens, and trouble coordinating movement (ataxia) that begins in childhood. Walking skills are often delayed, and some people eventually use a walker or wheelchair. Tremor of the arms and hands may occur.

Signs & symptoms

Symptoms vary from person to person. GARD describes these features:

  • Intellectual disability
  • Poor coordination and balance (ataxia)
  • Delayed walking skills
  • Unsteady walk with feet wide apart
  • Shaking of the arms and hands (tremor)
  • Too little myelin in the brain (hypomyelination)

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 genetic 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

    United Leukodystrophy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
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 YaYa 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 to confirm the cause?
Which therapies and mobility aids could help with walking and balance?
Which specialists should be on our care team?

Quick facts

GARD says changes in genes cause this condition but doesn't name a gene in this record.

Genetic

Also known as: pol iii-related leukodystrophies; pol iii-related leukodystrophy; ribonucleic acid polymerase iii-related leukodystrophy; rna polymerase iii-related leukodystrophy

Patient organizations

Source: NIH GARD · POLR3-related leukodystrophyGARD ID 27146 · 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 POLR3-related leukodystrophy.

Explore the POLR3-related leukodystrophy blog

Explore research for POLR3-related leukodystrophy

Explore actively recruiting POLR3-related leukodystrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for POLR3-related leukodystrophy 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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