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Living with X-linked dystonia-parkinsonism

A movement disorder found only in people of Filipino descent, mostly men, starting in adulthood.

Understanding X-linked dystonia-parkinsonism

X-linked dystonia-parkinsonism is a movement disorder that has been found only in people of Filipino descent.

It affects men much more often than women. Parkinsonism, with tremor, slow movement, stiffness, poor balance, and a shuffling walk, is usually first. Later many people develop dystonia, sustained involuntary muscle spasms that often start in the eyes, jaw, or neck and spread. Severity varies widely.

Signs & symptoms

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

  • Tremor
  • Slow movement (bradykinesia)
  • Muscle stiffness
  • Poor balance
  • Shuffling walk
  • Muscle spasms (dystonia)

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 TAF1 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

    Parkinson & Movement Disorder Alliance and Dystonia Medical Research 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: Parkinson & Movement Disorder Alliance, Dystonia Medical Research 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 Parkinson & Movement Disorder Alliance 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
Could TAF1 genetic testing confirm the diagnosis?
What treatments help with tremor and spasms?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult
InheritanceX-Linked
GenesTAF1

X-linked dystonia-parkinsonism is caused by changes in the TAF1 gene and follows X-linked inheritance.

GeneticNeurological

Also known as: dystonia-parkinsonism, x-linked, x-linked recessive; dyt-taf1; dyt3; lubag; lubag syndrome; torsion dystonia parkinsonism filipino type

Patient organizations

Source: NIH GARD · X-linked dystonia-parkinsonismGARD ID 10533 · 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 X-linked dystonia-parkinsonism.

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