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Living with Spinocerebellar ataxia, autosomal recessive 23

A rare inherited condition with early seizures, worsening balance and coordination problems and learning challenges.

Understanding Spinocerebellar ataxia, autosomal recessive 23

Spinocerebellar ataxia, autosomal recessive 23 is a rare hereditary ataxia that starts in infancy or childhood.

People have early-onset epilepsy that affects the whole brain, and balance and coordination problems that slowly worsen. Walking becomes very difficult, and some people need a wheelchair. Intellectual disability is also part of the condition.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Seizures
  • Intellectual disability
  • Difficulty walking
  • Distinctive facial shape

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in TDP2 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 and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: National Ataxia Foundation, Epilepsy 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 of the TDP2 gene confirm this diagnosis?
How can the seizures be best managed?
What mobility aids and therapies could help?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesTDP2

GARD lists changes in the TDP2 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: autosomal recessive cerebellar ataxia - epilepsy - intellectual disability syndrome due to tud deficiency; autosomal recessive cerebellar ataxia-epilepsy-intellectual disability syndrome due to tud deficiency; autosomal recessive cerebellar ataxia, epilepsy, intellectual disability syndrome due to tud deficiency; scar23; scar23 - spinocerebellar ataxia autosomal recessive type 23; spinocerebellar ataxia autosomal recessive type 23

Patient organizations

Source: NIH GARD · Spinocerebellar ataxia, autosomal recessive 23GARD ID 17677 · 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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