raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:458803

Spinocerebellar ataxia type 42

Synonyms: SCA42

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

A rare, autosomal dominant cerebellar ataxia characterized by pure and slowly progressive cerebellar signs combining gait instability, dysarthria, nystagmus, saccadic eye movements and diplopia. Less frequent clinical signs and symptoms include spasticity, hyperreflexia, decreased distal vibration sense, urinary urgency or incontinence and postural tremor.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSpinocerebellar ataxia type 42SCA42
frAtaxie spinocérébelleuse type 42= en
deAtaxie, spinozerebelläre, Typ 42= en
esAtaxia espinocerebelosa tipo 42
itAtassia spinocerebellare tipo 42
nlSpinocerebellaire ataxie type 42
ptAtaxia espinocerebelosa tipo 42= en
plAtaksja rdzeniowo-móżdżkowa typ 42SCA typ 42
csSpinocerebelární ataxie, typ 42= en
ukСпіноцеребеллярна атаксія, тип 42= en
zh脊髓小脑共济失调42型= en
trSpinoserebellar ataksi tip 42= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616795Evalidated
ICD-10G11.8NTBTattributedvalidated
MONDO0014776Evalidated
UMLSC4225205Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CACNA1GDisease-causing germline mutation(s) inAssessedHGNC:1394ENSG0000000628360406517q21.33calcium voltage-gated channel subunit alpha1 G26456284[PMID]_26715324[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)Validated26456284[PMID]_26715324[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26456284[PMID]_26715324[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

32 annotations · validated 2018-04-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001317Abnormal cerebellum morphology
HP:0001260Dysarthria
HP:0012759Neurodevelopmental abnormality
HP:0002317Unsteady gait
Frequent (79-30%)
HP:0003487Babinski sign
HP:0001272Cerebellar atrophy
HP:0006855Cerebellar vermis atrophy
HP:0000716Depression
HP:0002015Dysphagia
HP:0031166Eyelid myokymia
HP:0002066Gait ataxia
HP:0007979Gaze-evoked horizontal nystagmus
HP:0006938Impaired vibration sensation at ankles
HP:0001152Saccadic smooth pursuit
HP:0002064Spastic gait
HP:0000012Urinary urgency
Occasional (29-5%)
HP:0002511Alzheimer disease
HP:0007366Atrophy/Degeneration affecting the brainstem
HP:0000651Diplopia
HP:0002346Head tremor
HP:0030890Hyperintensity of cerebral white matter on MRI
HP:0000571Hypometric saccades
HP:0000802Impotence
HP:0000639Nystagmus
HP:0003765Psoriasiform dermatitis
HP:0012708Reduced brain N-acetyl aspartate level by MRS
HP:0002322Resting tremor
HP:0002650Scoliosis
HP:0000486Strabismus
HP:0007351Upper limb postural tremor
HP:0000020Urinary incontinence
HP:0002321Vertigo

Run the differential on the 4 obligate / very frequent terms

Annotation source: 26456284[PMID]_26715324[PMID]

7

Sources for this card