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Living with Spinocerebellar ataxia type 38

An inherited condition starting in adulthood with trouble keeping upright, walking and balancing, and eye movement problems.

Understanding Spinocerebellar ataxia type 38

Spinocerebellar ataxia type 38 (SCA38) is a genetic disease that usually starts in adulthood.

It causes weakness in the abdominal and back muscles that makes staying upright hard (truncal ataxia), plus problems with walking and balance. People have involuntary eye movements when looking in a certain direction. Over time they may develop slurred speech, poor arm and leg coordination, double vision and nerve damage.

Signs & symptoms

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

  • Poor coordination when walking
  • Trouble staying upright (truncal ataxia)
  • Jerky eye movements (nystagmus)
  • Slurred speech (dysarthria)
  • Nerve damage in the limbs
  • 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 and genetic specialists.

  3. Consider genetic testing

    Changes in ELOVL5 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 ELOVL5 gene confirm this diagnosis?
What therapies can help with balance and posture?
Should vision and nerve function be monitored?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesELOVL5

GARD lists changes in the ELOVL5 gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurologicalInherited Metabolic

Also known as: sca38

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Spinocerebellar ataxia type 38GARD ID 12369 · 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 38.

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