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Autosomal recessive congenital cerebellar ataxia due to MGLUR1 deficiency is a rare, genetic, slowly progressive neurodegenerative disease resulting from MGLUR1 deficiency characterized by global developmental delay (beginning in infancy), mild to severe intellectual deficit with poor or absent speech, moderate to severe stance and gait ataxia, pyramidal signs (e.g. hyperreflexia) and mild dysdiadochokinesia, dysmetria, tremors, and/or dysarthria. Oculomotor signs, such as nystagmus, strabismus, ptosis and hypometric saccades, may also be associated. Brain imaging reveals progressive, generalized, moderate to severe cerebellar atrophy, inferior vermian hypoplasia, and/or constitutionally small brain.
Features include always present findings: Strabismus, Inability to walk, Gaze-evoked nystagmus, and Shrinkage of the cerebellum (cerebellar atrophy) and others; and very common findings: Gait ataxia, Intellectual disability, Overactive reflexes (hyperreflexia), and Difficulty standing. 34 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 15 | Inability to walk, Seizure, Polyneuropathy |
Eyes | 6 | Gaze-evoked horizontal nystagmus, Strabismus, Gaze-evoked nystagmus |
Muscles | 2 | Shrinkage of the cerebellum (cerebellar atrophy), Axial hypotonia |
Growth and development | 1 | Short stature |
Arms and legs | 1 | Limb dysmetria |
Age of onset: adulthood.
GRM1 encodes glutamate metabotropic receptor 1 (1,194 aa). G-protein coupled receptor for glutamate. Highest expression in Brain Cerebellar Hemisphere (38.3 TPM) and Brain Cerebellum (30.6 TPM).
Autosomal recessive spinocerebellar ataxia 13 is associated with mutations in the GRM1 gene on chromosome 6.
The GRM1 protein participates in L-Glutamate or L-Aspartate and 5' nucleotide bind umami taste receptor (TAS1R1:TAS1R3) and Sensory perception of taste pathways.
GRM1 is classified as a druggable target (Druggable Genome, G Protein Coupled Receptor, and Transporter categories) with score 2.2.
Genetic testing for GRM1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 11 always present features, 4 very common features, 12 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autosomal recessive spinocerebellar ataxia 13.
3 publications have been identified in PubMed for autosomal recessive spinocerebellar ataxia 13. Research spans Case Report / Case Series (67%) and Review / Meta-Analysis (33%).
Ahmad S (2026). [PMID: 41649149](https://pubmed.ncbi.nlm.nih.gov/41649149/). *Clinical dysmorphology*. [Case Report / Case Series]
Lan SC (2025). [PMID: 40199824](https://pubmed.ncbi.nlm.nih.gov/40199824/). *Cerebellum (London, England)*. [Review / Meta-Analysis]
Ahmad R (2025). [PMID: 40858856](https://pubmed.ncbi.nlm.nih.gov/40858856/). *Cerebellum (London, England)*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:37 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning autosomal recessive spinocerebellar ataxia 13
Updated Aug 18, 2026
A recent study published in PubMed details the clinical features of four unrelated Japanese patients diagnosed with autosomal recessive spinocerebellar ataxia type 32. This research contributes to the understanding of the disease's presentation and may inform future studies.