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Living with Spinocerebellar ataxia type 21

A very rare inherited condition starting in the teens with slowly worsening coordination, tremor and stiffness.

Understanding Spinocerebellar ataxia type 21

Spinocerebellar ataxia type 21 (SCA21) is a very rare type of dominantly inherited cerebellar ataxia.

It causes slowly worsening poor coordination, mild thinking difficulty, tremor when holding a posture or at rest, slow movement and stiffness. It starts in the teen years.

Signs & symptoms

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

  • Poor coordination (ataxia)
  • Tremor
  • Stiffness and slow movement
  • Mild thinking difficulty
  • Slurred speech
  • Jerky 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 TMEM240 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); 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 TMEM240 gene confirm this diagnosis?
What can help with tremor and stiffness?
Should thinking skills be tested regularly?

Quick facts

Symptoms usually startTeenager
InheritanceAutosomal Dominant
GenesTMEM240

GARD lists changes in the TMEM240 gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurological

Also known as: sca21

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Spinocerebellar ataxia type 21GARD ID 9999 · 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 Spinocerebellar ataxia type 21.

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