raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:247234

Sporadic adult-onset ataxia of unknown etiology

Synonyms: Idiopathic late-onset cerebellar ataxia · SAOA

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult, Elderly
Status
active

A rare non-hereditary degenerative ataxia disease characterized by a slowly progressive cerebellar syndrome (with ataxia of stance and gait, upper limb dysmetria and intention tremor, ataxic speech, and oculomotor abnormalities), presenting in adulthood (at around 50 years of age), that is not due to a known cause. Extracerebellar symptoms (e.g., decreased vibration sense and absent or decreased ankle reflexes), polyneuropathy and mild autonomic dysfunction may also be present. Mild cognitive impairment has also rarely been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSporadic adult-onset ataxia of unknown etiologyIdiopathic late-onset cerebellar ataxia · SAOA
frAtaxie sporadique tardive d'étiologie indéterminéeAtaxie sporadique de l'adulte d'étiologie indéterminée · ILOCA · SAOA
deSporadische Ataxie unbekannter Ätiologie im ErwachsenenalterIdiopathische spät-einsetzende zerebelläre Ataxie · SAOA
esAtaxia esporádica de inicio en el adulto de etiología desconocidaAtaxia cerebelosa idiopática de inicio tardío · SAOA
itAtassia sporadica a eziologia non nota e a esordio nell'età adultaAtassia cerebellare idiopatica a esordio tardivo · SAOA
nlSporadische ataxie met aanvang op volwassen leeftijd met onbekende etiologieIdiopathische cerebellaire ataxie met late aanvang · SAOA
ptAtaxia esporádica com início no adulto sem etiologia conhecida
plSporadyczna ataksja dorosłych o nieznanej etiologiiIdiopatyczna ataksja móżdżkowa o późnym początku · SAOA
csSporadická ataxie neznámého původu s nástupem v dospělostiSAQA · Idiopatická cerebelární ataxie s pozdním začátkem
ukСпорадична атаксія у дорослих невідомої етіологіїІдіопатична мозочкова атаксія з пізнім початком · SAOA
zh病因不明散发性成人共济失调孤立性晚发性小脑共济失调
trSporadik yetişkin başlangıçlı, etiyolojisi bilinmeyen ataksiSAOA · İdiyopatik geç-başlangıçlı serebellar ataksi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G31.8NTBTattributedvalidated
MONDO0016591Evalidated
UMLSC4518339Evalidated

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
Point prevalence1-9 / 100 0007.6 / 100 000EuropeValue and classNot yet validated20083040[PMID]
Point prevalence1-9 / 100 0006.9 / 100 000ItalyValue and classValidated7793232[PMID]
Point prevalence1-9 / 100 0008.4 / 100 000United KingdomValue and classValidated15258214[PMID]

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

28 annotations · validated 2018-03-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000496Abnormality of eye movement
HP:0001251Ataxia
HP:0002066Gait ataxia
Frequent (79-30%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0007670Abnormal vestibulo-ocular reflex
HP:0008278Cerebellar cortical atrophy
HP:0000640Gaze-evoked nystagmus
HP:0007772Impaired smooth pursuit
HP:0000608Macular degeneration
HP:0002354Memory impairment
HP:0000572Visual loss
Occasional (29-5%)
HP:0001291Abnormal cranial nerve morphology
HP:0002304Akinesia
HP:0003487Babinski sign
HP:0001260Dysarthria
HP:0002075Dysdiadochokinesis
HP:0002015Dysphagia
HP:0001347Hyperreflexia
HP:0000338Hypomimic face
HP:0001300Parkinsonism
HP:0002322Resting tremor
HP:0002063Rigidity
HP:0000763Sensory neuropathy
HP:0002362Shuffling gait
HP:0001257Spasticity
Very rare (<4-1%)
HP:0000726Dementia
HP:0002080Intention tremor
HP:0000020Urinary incontinence

Run the differential on the 3 obligate / very frequent terms

Annotation source: 26517211[PMID]_21827893[PMID]_2341843[PMID]

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Sources for this card