raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98765

Spinocerebellar ataxia type 4

Synonyms: SCA4

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

Spinocerebellar ataxia type 4 (SCA4) is a very rare progressive and untreatable subtype of type I autosomal dominant cerebellar ataxia (ADCA type I) characterized by ataxia with sensory neuropathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSpinocerebellar ataxia type 4SCA4
frAtaxie spinocérébelleuse type 4= en
deAtaxie, spinozerebelläre, Typ 4= en
esAtaxia espinocerebelosa tipo 4= en
itAtassia spinocerebellare, tipo 4= en
nlSpinocerebellaire ataxie type 4= en
ptAtaxia espinocerebelosa tipo 4= en
plAtaksja rdzeniowo-móżdżkowa typu 4= en
csSpinocerebelární ataxie, typ 4= en
ukСпіноцеребеллярна атаксія, тип 4= en
zh脊髓小脑共济失调4型= en
trSpinoserebellar ataksi tip 4= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM600223Evalidated
ICD-10G11.2NTBTattributedvalidated
ICD-118A03.16NTBTindexvalidated
MONDO0010847Evalidated
UMLSC0752122Evalidated
GARD9970Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PLEKHG4Candidate gene tested inNot yet assessedHGNC:24501ENSG0000019615560952616q22.1pleckstrin homology and RhoGEF domain containing G421267591[PMID]_18293026[PMID]_20301317[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

12 annotations · validated 2018-04-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003438Absent Achilles reflex
HP:0010831Impaired proprioception
HP:0010830Impaired tactile sensation
HP:0002495Impaired vibratory sensation
Frequent (79-30%)
HP:0001251Ataxia
HP:0001260Dysarthria
HP:0001288Gait disturbance
HP:0002333Motor deterioration
Occasional (29-5%)
HP:0001284Areflexia
HP:0007002Motor axonal neuropathy
HP:0009830Peripheral neuropathy
HP:0003390Sensory axonal neuropathy

Run the differential on the 4 obligate / very frequent terms

Annotation source: 8755926[PMID]

7

Sources for this card