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Living with Spinocerebellar ataxia 27A

A rare inherited brain condition that affects balance and coordination, with unsteady walking, tremor and slurred speech.

Understanding Spinocerebellar ataxia 27A

Spinocerebellar ataxia 27A is a rare inherited brain disorder that mainly affects the cerebellum, the part of the brain that controls balance and coordination.

People may have unsteady walking, balance problems, tremor, slow or slurred speech and jerky eye movements. Symptoms start at widely varying ages, from infancy to adulthood. It usually worsens slowly, and in some people balance problems are mild. Many have mild developmental delay or learning difficulties. Symptoms can flare with fever, stress or exercise, and may link with mood changes.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Based on its summary, symptoms include:

  • Unsteady walk and balance problems
  • Tremor
  • Slurred or slow speech
  • Jerky eye movements (nystagmus)
  • Mild developmental delay
  • Mood or behavior changes

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

  4. Connect with expert centers

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 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
Can genetic testing help confirm this diagnosis?
What can trigger flare-ups, such as fever or stress?
Which therapies help with balance and speech?

Quick facts

InheritanceAutosomal Dominant

GARD doesn't list a gene. It is inherited in an autosomal dominant pattern, meaning a person can be affected if they inherit the changed gene from one parent.

Also known as: nys4; nystagmus 4, congenital, autosomal dominant; vestibulocerebellar disorder with predominant ocular signs

Patient organizations

Source: NIH GARD · Spinocerebellar ataxia 27AGARD ID 9603 · 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

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