raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98773

Spinocerebellar ataxia type 21

Synonyms: SCA21

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

Spinocerebellar ataxia type 21 (SCA21) is a very rare subtype of type I autosomal dominant cerebellar ataxia (ADCA type I). It is characterized by slowly progressive cerebellar ataxia, mild cognitive impairment, postural and/or resting tremor, bradykinesia, and rigidity.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSpinocerebellar ataxia type 21SCA21
frAtaxie spinocérébelleuse type 21= en
deAtaxie, spinozerebelläre, Typ 21= en
esAtaxia espinocerebelosa tipo 21= en
itAtassia spinocerebellare, tipo 21= en
nlSpinocerebellaire ataxie type 21= en
ptAtaxia espinocerebelosa tipo 21= en
plAtaksja rdzeniowo-móżdżkowa typu 21= en
csSpinocerebelární ataxie, typ 21= en
ukСпіноцеребеллярна атаксія, тип 21= en
zh脊髓小脑共济失调21型= en
trSpinoserebellar ataksi tip 21= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607454Evalidated
ICD-10G11.1NTBTattributedvalidated
ICD-118A03.16NTBTindexvalidated
MONDO0011833Evalidated
MeSHC537200Evalidated
UMLSC1843891Evalidated
GARD9999Evalidated

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
TMEM240Disease-causing germline mutation(s) inAssessedHGNC:25186ENSG000002050906161011p36.33transmembrane protein 24025070513[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families35 casesWorldwideCase(s)Validated26813285[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26813285[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

15 annotations · validated 2018-03-27
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002071Abnormality of extrapyramidal motor function
HP:0002066Gait ataxia
HP:0007944Intermittent microsaccadic pursuits
HP:0002073Progressive cerebellar ataxia
Frequent (79-30%)
HP:0002304Akinesia
HP:0000708Atypical behavior
HP:0006855Cerebellar vermis atrophy
HP:0100543Cognitive impairment
HP:0001260Dysarthria
HP:0010526Dysgraphia
HP:0001249Intellectual disability
HP:0000639Nystagmus
HP:0002063Rigidity
HP:0001337Tremor
Occasional (29-5%)
HP:0000651Diplopia

Run the differential on the 4 obligate / very frequent terms

Annotation source: 18418688[PMID]_25070513[PMID]

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Sources for this card