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Living with Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2

A rare inherited condition that affects muscle control and coordination, with nerve damage and sometimes eye movement trouble.

Understanding Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2

Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2 (AOA2) is a rare condition that affects muscle control and coordination.

Other signs may include nerve damage in the limbs, mild thinking difficulty and, less often, movement disorders. About half of people have oculomotor apraxia, which makes it hard to move the eyes side to side in the direction they want. It can start anywhere from childhood to adulthood.

Signs & symptoms

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

  • Poor balance and coordination (ataxia)
  • Absent reflexes
  • Nerve damage with less feeling and movement
  • Trouble moving the eyes side to side
  • Jerky eye movements (nystagmus)
  • Shrinking of the cerebellum

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 SETX 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 The Foundation for Peripheral Neuropathy 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, The Foundation for Peripheral Neuropathy
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 SETX gene confirm this diagnosis?
Which blood tests and eye checks are needed?
What therapies can help with balance and nerve symptoms?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Recessive
GenesSETX

GARD says it is caused by changes in the SETX gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: aoa2; aoa2 - ataxia oculomotor apraxia type 2; ataxia with oculomotor apraxia; ataxia with oculomotor apraxia 2; ataxia with oculomotor apraxia type 2; ataxia-ocular apraxia 2

Patient organizations

Source: NIH GARD · Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2GARD ID 12860 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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