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Living with Spinocerebellar ataxia 7

An inherited condition that affects balance, coordination and vision, ranging from teen or adult onset to infant onset.

Understanding Spinocerebellar ataxia 7

Spinocerebellar ataxia 7 (SCA7) is an inherited condition with progressive loss of balance and coordination and a retina disease, with onset from infancy to adulthood.

Some people start in adolescence or adulthood with progressive ataxia and a retinal disease that affects cones and rods. Others start in infancy or early childhood with problems in many organs and a faster course. It is caused by a repeat expansion that can grow longer from one generation to the next (anticipation), so a child may be affected far earlier than a parent. Teen-onset usually begins with vision problems, then ataxia. Over time, vision, speech, swallowing and movement are affected.

Signs & symptoms

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

  • Poor coordination that worsens over time
  • Slurred speech (dysarthria)
  • Optic nerve damage and vision loss
  • Involuntary eye movements (nystagmus)
  • Tremor
  • Strong reflexes

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ATXN7 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); Eye disease specialists (ophthalmologists); 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
Can genetic testing of the ATXN7 gene confirm this diagnosis?
How might this affect my children, given anticipation?
Which eye and movement specialists should I see?

Quick facts

InheritanceAutosomal Dominant
GenesATXN7

GARD lists changes in the ATXN7 gene, a CAG repeat expansion. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurological

Also known as: adca, type ii; adca2; adcaii; ataxia with pigmentary retinopathy; atxn7 autosomal dominant cerebellar ataxia type ii; autosomal dominant cerebellar ataxia type 2

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Spinocerebellar ataxia 7GARD ID 20405 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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