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Living with Sterol carrier protein 2 deficiency

A rare inherited nerve condition with head tremor, neck twisting, hearing and smell problems, and hormone changes.

Understanding Sterol carrier protein 2 deficiency

Sterol carrier protein 2 deficiency, also called leukoencephalopathy-dystonia-motor neuropathy syndrome, is a rare nerve condition.

It is a peroxisomal disorder that affects the brain and nerves. Features include neck twisting (torticollis), head tremor, shaking when reaching, and shaky eye movements. People may also have a reduced sense of smell and low sex hormone function, with no sperm in semen. Some have mild balance and walking problems. Signs may begin in childhood.

Signs & symptoms

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

  • Twisted neck (torticollis)
  • Head tremor and tremor when reaching
  • Muscle stiffness or twisting (dystonia)
  • Nerve damage in the limbs (neuropathy)
  • Hearing loss and reduced sense of smell
  • Low sex hormone function

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 SCP2 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

    United Leukodystrophy 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: United Leukodystrophy 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 United Leukodystrophy 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
Which specialists should follow the nerves and movement?
Should hearing and hormone levels be checked?
Would SCP2 gene testing help our family?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesSCP2

Changes in the SCP2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: deficiency of sterol carrier protein x; leukoencephalopathy with dystonia and motor neuropathy; leukoencephalopathy-dystonia-motor neuropathy syndrome; leukoencephalopathy, dystonia, motor neuropathy syndrome; scp2 deficiency; scpx (sterol carrier protein x) deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Sterol carrier protein 2 deficiencyGARD ID 12471 · 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 Sterol carrier protein 2 deficiency.

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