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Living with Posterior column ataxia-retinitis pigmentosa syndrome

A genetic condition that affects vision and the nervous system, with night blindness, poor balance and muscle weakness.

Understanding Posterior column ataxia-retinitis pigmentosa syndrome

Posterior column ataxia-retinitis pigmentosa syndrome (PCARP) is a genetic condition that affects vision and the nervous system.

It causes loss of cells in the light-sensitive tissue at the back of the eye (retinitis pigmentosa) and trouble sensing body position and movement (proprioception). It also causes muscle weakness and wasting. Other signs can include curved spine, bent finger joints and digestive problems. It often starts in childhood.

Signs & symptoms

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

  • Night blindness and vision loss
  • Poor balance and unsteady walking (ataxia)
  • Trouble sensing body position (proprioception)
  • Reduced vibration sense in the legs
  • Low muscle tone
  • Intellectual disability

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 FLVCR1 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 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
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
  • 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 FLVCR1, and should siblings be tested?
How often should eye exams be done?
Which therapies can help with balance and walking?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesFLVCR1

Changes in the FLVCR1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: ataxia, posterior column, with retinitis pigmentosa; autosomal recessive posterior column ataxia and retinitis pigmentosa; pcarp; posterior column ataxia with retinitis pigmentosa syndrome; retinopathy-sensory neuropathy syndrome; retsns

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Posterior column ataxia-retinitis pigmentosa syndromeGARD ID 9898 · 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 Posterior column ataxia-retinitis pigmentosa syndrome.

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