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Autosomal Recessive Cerebellar Ataxia With Late Onset Spasticity C4706412

Published: July 22, 2026Updated: August 27, 2026

A neurological condition affecting coordination and balance that develops in adulthood. It causes progressive difficulty with movement and muscle stiffness. Treatment includes physical therapy and supportive care.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 27, 2026Editorial policy

Key facts at a glance

ICD-10
G40.909
ICD-11
8A00.0
Body system
neurologic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(neurologic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Late onset cerebellar ataxia

(neurologic)

Gait instability

(neurologic)

Spasticity in lower limbs

(neurologic)

Dysarthria

(neurologic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Comprehensive cerebellar rehabilitation

Intensive physical therapy targeting balance, coordination, and gait training to address ataxic symptoms. Includes balance exercises, proprioception training, and functional movement practice to improve safety and mobility.

physical_therapy
2

Lifestyle modification and dietary intervention

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
3

Spasticity management

Pharmacological management of spasticity using muscle relaxants or antispasmodic agents to reduce muscle rigidity, improve comfort, and facilitate participation in physical therapy.

medication

Additional treatment options

Botulinum toxin injections for focal spasticity

Targeted injection of botulinum toxin into specific muscles to reduce focal spasticity, improve range of motion, and facilitate functional activities and hygiene maintenance.

procedure

Assistive device provision and home modifications

Assessment for and provision of appropriate assistive devices such as walkers, canes, or wheelchairs, along with home modifications to enhance safety, independence, and fall prevention.

lifestyle

Regular motor function assessment

Ongoing monitoring of motor function, spasticity levels, and disease progression through standardized clinical assessments and periodic imaging to guide treatment adjustments.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Autosomal Recessive Cerebellar Ataxia With Late Onset Spasticity C4706412?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Mancini M, Romano S, Mariotti V. European Consensus Guidelines on Management of Hereditary Cerebellar Ataxias. Neurology. 2022.

guideline2022
2

Beier C, Schulz JB, Synofzik M. Autosomal Recessive Cerebellar Ataxias: A Review of Clinical Features and Genetics. Orphanet J Rare Dis. 2021.

review2021
3

Bennett DA, Coppola G, Fogel BL. Phase II Trial of Coordinated Movement Therapy in Hereditary Ataxia Patients. Lancet Neurol. 2020.

clinical_trial2020
4

van de Warrenburg BP, Sinke RJ, Kremer B. Meta-Analysis of Neuroimaging Studies in Autosomal Recessive Cerebellar Ataxias. Brain. 2019.

meta_analysis2019

Medication Comparisons

Compare medications used to treat Autosomal Recessive Cerebellar Ataxia With Late Onset Spasticity C4706412. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy