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Episodic ataxia type 4 (EA4) is a very rare form of Hereditary episodic ataxia characterized by late-onset episodic ataxia, recurrent attacks of vertigo, and diplopia.
Features include: Gaze-evoked nystagmus, Diplopia, Vertigo, and Abnormality of ocular smooth pursuit and 5 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 3 | Gaze-evoked nystagmus, Diplopia, Abnormality of ocular smooth pursuit |
Ears |
Biomarker and diagnostic research for episodic ataxia type 4 has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
5 publications have been identified in PubMed for episodic ataxia type 4. Research spans Epidemiology / Natural History (40%), Diagnostic / Biomarker (20%), and Case Report / Case Series (20%).
Gold DR (2026). [PMID: 40693779](https://pubmed.ncbi.nlm.nih.gov/40693779/). *J Neuroophthalmol*. [Epidemiology / Natural History]
Pons NC (2026). [PMID: 42090775](https://pubmed.ncbi.nlm.nih.gov/42090775/). *J Neurol Sci*. [Diagnostic / Biomarker]
Rettenmaier LA (2025). [PMID: 40679574](https://pubmed.ncbi.nlm.nih.gov/40679574/). *Cerebellum*. [Epidemiology / Natural History]
Verriello L (2025). [PMID: 39954114](https://pubmed.ncbi.nlm.nih.gov/39954114/). *J Neurol*. [Case Report / Case Series]
Mammadova D (2024). [PMID: 39416668](https://pubmed.ncbi.nlm.nih.gov/39416668/). *Front Neurol*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 11:11 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
2 |
Vertigo, Tinnitus |
Brain and nerves | 2 | Episodic ataxia, Spasticity |
Digestive system | 1 | Nausea |