Skip to content
knowrare
HealthSignal
Your condition community

Living with Spinocerebellar ataxia type 23

A very rare inherited condition starting in adulthood with unsteady walking, slurred speech and slow eye movements.

Understanding Spinocerebellar ataxia type 23

Spinocerebellar ataxia type 23 (SCA23) is a very rare type of dominantly inherited cerebellar ataxia.

It causes an unsteady walk, slurred speech and slowed eye movements. People may also have poor eye-hand coordination, strong reflexes and an abnormal reflex called a Babinski sign. It starts in adulthood.

Signs & symptoms

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

  • Unsteady walk (gait ataxia)
  • Slurred speech (dysarthria)
  • Slow eye movements
  • Strong reflexes
  • Reduced vibration sense
  • Poor limb coordination

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 PDYN 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 PDYN gene confirm this diagnosis?
What therapies can help with walking and speech?
Should family members consider genetic counseling?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesPDYN

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

GeneticNeurological

Also known as: sca23; spinocerebellar ataxia type23

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Spinocerebellar ataxia type 23GARD ID 9950 · 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 23.

Explore the Spinocerebellar ataxia type 23 blog

Explore research for Spinocerebellar ataxia type 23

Explore actively recruiting Spinocerebellar ataxia type 23 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Spinocerebellar ataxia type 23 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Spinocerebellar ataxia type 23 studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Spinocerebellar ataxia type 23

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Spinocerebellar ataxia type 23

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Spinocerebellar ataxia type 23 experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.