raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1177

Early-onset cerebellar ataxia with retained tendon reflexes

Synonyms: EOCA · EOCARR · Harding ataxia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood
Status
active

Early onset cerebellar ataxia with retained reflexes (EOCARR) or Harding ataxia is a cerebellar ataxia characterized by the progressive association of a cerebellar and pyramidal syndrome with progressive cerebellar ataxia, brisk tendon reflexes, and sometimes profound sensory loss.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enEarly-onset cerebellar ataxia with retained tendon reflexesEOCA · EOCARR · Harding ataxia
frAtaxie cérébelleuse précoce avec conservation des réflexes tendineuxAtaxie de Harding · EOCA · EOCARR
deAtaxie, zerebelläre, früh beginnende, mit Erhalt der SehnenreflexeEOCA · EOCARR · Harding-Ataxie
esAtaxia cerebelosa de inicio precoz con preservación de reflejos tendinososAtaxia cerebelosa temprana con preservación de reflejos tendinosos · Ataxia de Harding · EOCA · EOCARR
itAtassia cerebellare precoce con conservazione dei riflessi tendineiAtassia di Harding · EOCA · EOCARR
nlVroeg optredende cerebellaire ataxie met behoud van peesreflexenAtaxie van Harding · EOCA · EOCARR
ptAtaxia cerebelosa de início precoce com reflexos tendinosos preservadosAtaxia de Harding
plAtaksja możdżkowa o wczesnym początku z zachowanym odruchem ścięgnistymAtaksja Hardinga · EOCA · EOCARR
csČasně začínající mozečková ataxie se zachovalými svalovými reflexyEOCA · EOCARR · Hardingova ataxie
ukРання мозочкова атаксія зі збереженими сухожильними рефлексамиEOCA · EOCARR · Атаксія Хардінга
zh早发型小脑共济失调伴肌腱反射保留Harding共济失调
trKorunmuş tendon refleksleri ile erken başlangıçlı serebellar ataksiEOCA · EOCARR · Harding ataksi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM212895Evalidated
ICD-10G11.1NTBTattributedvalidated
ICD-118A03.1YNTBTindexvalidated
MONDO0008938Evalidated
MeSHC535633Evalidated
UMLSC0393520Evalidated
GARD2600Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0002.08 / 100 000ItalyValue and classValidated8330454[PMID]
Point prevalence1-9 / 100 0001 / 100 000ItalyValue and classValidated8330454[PMID]
Point prevalence1-9 / 100 000—EuropeClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

24 annotations · validated 2018-03-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002073Progressive cerebellar ataxiaDiagnostic criterion
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0007083Hyperactive patellar reflexDiagnostic criterion
HP:0007350Hyperreflexia in upper limbsDiagnostic criterion
HP:0008003Jerky ocular pursuit movements
HP:0006895Lower limb hypertonia
HP:0000639Nystagmus
HP:0007240Progressive gait ataxia
HP:0003474Somatic sensory dysfunction
Occasional (29-5%)
HP:0003115Abnormal EKG
HP:0100543Cognitive impairment
HP:0200101Decreased/absent ankle reflexes
HP:0003700Generalized amyotrophy
HP:0010794Impaired visuospatial constructive cognition
HP:0007340Lower limb muscle weakness
HP:0002061Lower limb spasticity
HP:0001761Pes cavus
HP:0002650Scoliosis
Excluded (0%)
HP:0001638Cardiomyopathy
HP:0000819Diabetes mellitus
HP:0005775Multiple skeletal anomalies
HP:0000648Optic atrophy

Run the differential on the 1 obligate / very frequent terms

Annotation source: 7276963[PMID]_8330454[PMID]_9686785[PMID]_1884166[PMID]_2213043[PMID]

7

Sources for this card