raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:95434

Autosomal recessive cerebellar ataxia-movement disorder syndrome

Synonyms: SCAR4 · SCASI

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

A rare hereditary ataxia characterized by a progressive cerebellar ataxia associated with disruption of visual fixation by saccadic intrusions (overshooting horizontal saccades with macrosaccadic oscillations and increased velocity of larger saccades). It presents with progressive gait, trunk and limb ataxia with pyramidal tract signs (increased tendon reflexes and Babinski sign), myoclonic jerks, fasciculations, cerebellar dysarthria, sensorimotor axonal neuropathy with impaired joint position, vibration, temperature, pain sensations, pes cavus, and saccadic intrusions with characteristic overshooting horizontal saccades, macrosaccadic oscillations, and increased velocity of larger saccades, without other eye movement disturbances.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive cerebellar ataxia-movement disorder syndromeSCAR4 · SCASI
frSyndrome d'ataxie cérébelleuse autosomique récessive-anomalie du mouvement= en
deAutosomal-rezessive zerebelläre Ataxie-Bewegungsstörungen-Syndrom= en
esSíndrome de ataxia cerebelosa-trastorno del movimiento autosómico recesivo= en
itSindrome da atassia cerebellare autosomica recessiva e disturbi del movimento= en
nlAutosomaal recessieve cerebellaire ataxie - bewegingsstoornis-syndroom= en
ptSíndrome de ataxia cerebelosa autossómica recessiva-doença do movimento
plAutosomalna recesywna ataksja móżdżkowa - wtręty sakadyczne= en
csSyndrom zahrnující autozomálně recesivní cerebelární ataxii a sakadické pohyby očí= en
ukАутосомно-рецесивний синдром мозочкової атаксії-рухового розладу= en
zh常染色体隐性小脑共济失调-扫视性侵扰综合征= en
trOtozomal resesif serebellar ataksi-sakkadik intrüzyon sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607317Evalidated
ICD-10G11.1NTBTattributedvalidated
ICD-118A03.1YNTBTattributedvalidated
MONDO0011811Evalidated
MeSHC537310Evalidated
UMLSC1846492Evalidated
GARD4952Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
VPS13DDisease-causing germline mutation(s) inAssessedHGNC:23595ENSG000000487076088771p36.22-p36.21vacuolar protein sorting 13 homolog D29604224[PMID]
VPS41Disease-causing germline mutation(s) inAssessedHGNC:12713ENSG000000067156054857p14.1VPS41 subunit of HOPS complex33764426[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families27 casesWorldwideCase(s)Validated29518282[PMID]_29604224[PMID]_31876103[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated29518282[PMID]_29604224[PMID]_31876103[PMID]_ORPHANET

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

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HPO phenotypes

20 annotations · validated 2018-05-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002366Abnormal lower motor neuron morphology
HP:0007256Abnormal pyramidal sign
HP:0025404Abnormal visual fixation
HP:0002066Gait ataxia
HP:0002070Limb ataxia
HP:0002073Progressive cerebellar ataxia
HP:0003474Somatic sensory dysfunction
HP:0002078Truncal ataxia
HP:0002493Upper motor neuron dysfunction
Frequent (79-30%)
HP:0000570Abnormal saccadic eye movements
HP:0000496Abnormality of eye movement
HP:0001260Dysarthria
HP:0010522Dyslexia
HP:0002380Fasciculations
HP:0007338Hypermetric saccades
HP:0010831Impaired proprioception
HP:0001761Pes cavus
HP:0007141Sensorimotor neuropathy
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0001336Myoclonus

Run the differential on the 9 obligate / very frequent terms

Annotation source: 11960835[PMID]_14681893[PMID]

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Sources for this card