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Living with Spastic ataxia 2

A rare inherited nervous system condition with slowly worsening leg stiffness and weakness and poor coordination.

Understanding Spastic ataxia 2

Spastic ataxia 2 is a rare, complex subtype of hereditary spastic paraplegia with leg stiffness and poor coordination.

Leg stiffness and weakness slowly worsen over time, along with poor balance and coordination from the cerebellum. Walking, speech and reflexes are affected. Other features can include tremor, muscle twitching, involuntary movements, eye movement differences and wasting of the hand and foot muscles. Onset varies from person to person.

Signs & symptoms

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

  • Leg stiffness (spasticity)
  • Unsteady walk and frequent falls
  • Slurred speech (dysarthria)
  • Muscle twitching
  • Wasting of hand and foot muscles
  • Involuntary eye movements (nystagmus)

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 KIF1C 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

    Spastic Paraplegia 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: Spastic Paraplegia 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 Spastic Paraplegia 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
Can genetic testing of the KIF1C gene confirm this diagnosis?
Which therapies can help with balance and walking?
Which neurologist or specialist should I see?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant, Autosomal Recessive
GenesKIF1C

GARD lists changes in the KIF1C gene. It can be inherited in an autosomal dominant way (one changed copy) or an autosomal recessive way (a changed copy from each parent).

GeneticNeurological

Also known as: ataxia, spastic, 2, autosomal recessive; autosomal recessive spastic ataxia type 2; autosomal spastic ataxia type 2; autosomal spastic paraplegia type 58; kif1c spastic ataxia; spastic ataxia caused by mutation in kif1c

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Spastic ataxia 2GARD ID 17644 · 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 Spastic ataxia 2.

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Explore research for Spastic ataxia 2

Explore actively recruiting Spastic ataxia 2 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Spastic ataxia 2 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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