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Start free with EleplanAutosomal recessive cerebellar ataxia-pyramidal signs-nystagmus-oculomotor apraxia syndrome
ORPHA:363429Disease
What it is
A rare, genetic, slowly progressive neurodegenerative disease characterized by delayed psychomotor development beginning in infancy, mild to profound intellectual disability, gait and stance ataxia, pyramidal signs (hyperreflexia, extensor plantar responses), dysarthria, and ocular abnormalities (e.g. nystagmus, oculomotor apraxia, abduction deficits, esotropia, ptosis). Brain imaging reveals progressive, generalized cerebellar atrophy, mild ventriculomegaly and, in some, retrocerebellar cysts.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
4- Abnormal pyramidal signDiagnostic criterion
- NystagmusDiagnostic criterion
- Oculomotor apraxiaDiagnostic criterion
- Progressive cerebellar ataxiaDiagnostic criterion
Common30–79%
21- Broad-based gait
- Diffuse cerebellar atrophy
- Dysdiadochokinesis
- Dysmetria
- Esotropia
- Gait disturbance
- Generalized hypotonia
- Global developmental delay
- Growth delay
- Horizontal nystagmus
- Hypometric saccades
- Intellectual disability, mild
- Optic disc pallor
- Pes planus
- Progressive gait ataxia
- Progressive truncal ataxia
- Ptosis
- Rotary nystagmus
- Short stature
- Spastic dysarthria
- Ventriculomegaly
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes reported in subtypes
Orphanet records these genes on 2 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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