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Spinocerebellar ataxia type 13 (SCA13) is a very rare subtype of type I autosomal dominant cerebellar ataxia (ADCA type I). It is characterized by onset in childhood marked by delayed motor and cognitive development followed by mild progression of cerebellar ataxia.
Features include always present findings: Shrinkage of the cerebellum (cerebellar atrophy), Gait ataxia, and Limb ataxia; and very common findings: Dysarthria. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Dysarthria, Gait ataxia, Progressive cerebellar ataxia |
Muscles | 3 | Shrinkage of the cerebellum (cerebellar atrophy), Low muscle tone (hypotonia), Damage to the optic nerve (optic atrophy) |
Eyes | 3 | Nystagmus, Jerky ocular pursuit movements, Damage to the optic nerve (optic atrophy) |
Arms and legs | 2 | Limb ataxia, Limb dysmetria |
Ears | 1 | Hearing loss (hearing impairment) |
The phenotypic spectrum of spinocerebellar ataxia type 13 (SCA13) originally clustered into two presentations: congenital-onset ataxia with little progression, typically accompanied by mild-to-moderate intellectual disability and occasionally seizures and adult-onset progressive ataxia . A rapidly progressive phenotype associated with adult onset (age 30 years) with fairly rapid (10-15 years) progression was described by .
In all affected individuals:
Non-progressive limb, truncal, gait ataxia
Dysarthria
Tremor
Delayed gross and/or fine motor milestones
Cognitive impairment that is mild to moderate and relatively domain-specific to language
Gradual lifetime improvement in motor and cognitive function
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
KCNC3 encodes potassium voltage-gated channel subfamily C member 3 (757 aa). Voltage-gated potassium channel that plays an important role in the rapid repolarization of fast-firing brain neurons. Highest expression in Brain Cerebellum (78.2 TPM) and Thyroid (63.5 TPM).
Spinocerebellar ataxia type 13 is caused by mutations in the KCNC3 gene on chromosome 19.
KCNC3 is classified as a druggable target (Druggable Genome and Ion Channel categories) with score 0.2.
While the known pathogenic variants in KCNC3 are associated with different phenotypes , data to date are too limited to make any genotype-phenotype correlations.
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
KCNC3 pathogenic variants appear to be fully penetrant in the families described. (See for relevant publications.)
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
Formal diagnostic criteria for spinocerebellar ataxia type 13 (SCA13) have not been established.
SCA13 should be considered in individuals with the following age-related phenotypes.
Congenital-onset cerebellar hypoplasia with non-progressive cerebellar ataxia
Congenital-onset non-progressive severe cerebellar hypoplasia on brain MRI
Ataxia
Gait and/or appendicular
Dysarthria
Cognitive impairment
Delayed motor milestones
Delayed speech acquisition
Tremor/myoclonus
Seizures
Gradual lifetime improvement in motor and cognitive function
Childhood-onset progressive cerebellar ataxia with delayed milestones
Cognitive impairment
Seizures
Delayed motor milestones
Cerebellar atrophy on brain MRI
Adult-onset progressive spinocerebellar ataxia
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
See Hereditary Ataxia Overview.
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
Genetic testing for KCNC3 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for spinocerebellar ataxia type 13. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with congenital-onset non-progressive spinocerebellar ataxia type 13 or adult-onset progressive SCA13, the multidisciplinary evaluations summarized in and , respectively (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 2. Recommended Evaluations Following Initial Diagnosis in Individuals with Congenital-Onset Non-Progressive SCA13
System/Concern | Evaluation | Comment |
|---|---|---|
Constitutional | Measure height, weight, head circumference. | To assess for FTT |
Feeding | If frequent choking or severe dysphagia: assess nutritional status aspiration risk; evaluate for GERD. | Consider involving gastroenterologist / nutrition / feeding team. |
Neurologic | Exam by neurologist for: history of known or suspected seizures, tremor, gait /or appendicular ataxia | Assessment by physical medicine, OT/PT |
Musculoskeletal | Assess spine extremities, w/attn to hip joint abnormalities range of motion. | Motor delay / |
Intellectual disability | Developmental assessment |
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
Avoid alcohol and sedating drugs, which can exacerbate ataxia.
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
1 trial found
Surveillance by a multidisciplinary team is recommended for individuals with congenital-onset non-progressive SCA13 and individuals with adult-onset progressive SCA13 . Table 6. Recommended Surveillance for Individuals Congenital-Onset Non-Progressive SCA13
System/Concern | Evaluation | Frequency |
|---|---|---|
Neurologic | Neurologic assessment | Annually or more often for an acute exacerbation Physical medicine, OT/PT assessment of mobility, self-help skills |
Dysphagia | Assess aspiration risk. | As neurologic function improves consider advancing food consistency diet. Dysarthria |
Recommended Surveillance for Individuals with Adult-Onset Progressive SCA13 System/Concern | Evaluation | Frequency |
Neurologic | Neurologic assessment | Annually or more often for an acute exacerbation Physical medicine, OT/PT assessment of mobility, self-help skills Dysarthria |
concerns | Social work psychology | As needed to assist w/adaptation compensation |
Source: GeneReviews — "Spinocerebellar Ataxia Type 13"
Phenotype severity distribution: 3 always present features, 1 very common feature, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
17 publications have been identified in PubMed for spinocerebellar ataxia type 13. Research spans Case Report / Case Series (53%), Basic Science / Preclinical (20%), and Epidemiology / Natural History (13%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 53% |
Laboratory research | 3 | 20% |
Disease patterns and progression | 2 | 13% |
Research summaries | 1 | 7% |
New treatment approaches | 1 | 7% |
Ma D (2026). [PMID: 42069089](https://pubmed.ncbi.nlm.nih.gov/42069089/). *Neurobiol Dis*. [Basic Science / Preclinical]
da Costa Urbano JC (2026). [PMID: 42050746](https://pubmed.ncbi.nlm.nih.gov/42050746/). *Am J Med Genet A*. [Case Report / Case Series]
Ahmad S (2026). [PMID: 41649149](https://pubmed.ncbi.nlm.nih.gov/41649149/). *Clin Dysmorphol*. [Case Report / Case Series]
Yin J (2025). [PMID: 40128944](https://pubmed.ncbi.nlm.nih.gov/40128944/). *Exp Anim*. [Basic Science / Preclinical]
Mastrangelo M (2025). [PMID: 40602760](https://pubmed.ncbi.nlm.nih.gov/40602760/). *Neuropediatrics*. [Case Report / Case Series]
Ahmad R (2025). [PMID: 40858856](https://pubmed.ncbi.nlm.nih.gov/40858856/). *Cerebellum*. [Gene Therapy / Novel Therapeutics]
Zhang Y (2025). [PMID: 40249242](https://pubmed.ncbi.nlm.nih.gov/40249242/). *FASEB J*. [Basic Science / Preclinical]
Mustafa F (2025). [PMID: 39576496](https://pubmed.ncbi.nlm.nih.gov/39576496/). *Acta Neurol Belg*. [Case Report / Case Series]
Abenza-Abildúa MJ (2025). [PMID: 40285998](https://pubmed.ncbi.nlm.nih.gov/40285998/). *Acta Neurol Belg*. [Case Report / Case Series]
Jimoh IJ (2025). [PMID: 39978794](https://pubmed.ncbi.nlm.nih.gov/39978794/). *Clin Genet*. [Epidemiology / Natural History]
Data assembled from 9 of 12 sources · Last updated Sep 19, 2026, 6:57 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Behavioral | Neuropsychiatric eval | Persons age 12 mos: screen for behavioral problems incl sleep disturbances, ADHD, anxiety, /or traits suggestive of ASD. |
Genetic counseling | By genetics professionals1 | To inform affected persons their families re nature, MOI, implications of SCA13 to facilitate medical personal decision making Family support/ |
resources | Social work | Assess:; Use of support/advocacy organizations (e.g., Parent to Parent); ADHD = attention-deficit/hyperactivity disorder; FTT = failure to thrive; GERD = gastroesophageal reflux disease; MOI = mode of inheritance; OT = occupational therapy; PT = physical therapy 1. |
Recommended Evaluations Following Initial Diagnosis in Individuals with Adult-Onset Progressive SCA13 System/Concern | Evaluation | Comment |
Neurologic | Neurologic assessment for cerebellar motor dysfunction (gait postural ataxia, dysmetria, dysdiadochokinesis, tremor, dysarthria, nystagmus, saccades, smooth pursuit) | Use standardized scale (SARA, ICARS, or BARS) to establish baseline for ataxia.1 Physical medicine, OT/PT assessment |
Speech | Speech/language eval for those w/dysarthria | If dysarthria is atypical or severe enough to cause communication problems |
Feeding | If frequent choking or severe dysphagia: assess nutritional status aspiration risk. | Consider placement of feeding tube for severe cases to risk of aspiration. Psychiatric/ |
Behavioral | Neuropsychiatric eval for those w/problems in learning /or social adaptation | No evidence that pharmacologic therapy has been required or effective in patients w/known pathogenic variants Genetic |
counseling | By genetics professionals2 | To inform patients families re nature, MOI, implications of SCA13 to facilitate medical personal decision making Family support/ |
resources | Social work | Assess:; Use of support/advocacy organizations (e.g., Parent to Parent); BARS = Brief Ataxia Rating Scale; ICARS = International Co-operative Ataxia Rating Scale; MOI = mode of inheritance; OT = occupational therapy; PT = physical therapy; SARA = Scale for the Assessment and Rating of Ataxia 1. , 2. |
Treatment of Manifestations in Individuals with Congenital-Onset Non-Progressive SCA13 Manifestation/Concern | Treatment | Considerations/Other |
Ataxia | Assessment by physical medicine, OT/PT | Consider adaptive devices to maintain/improve independence in mobility, feeding. |
Seizures | ASM under care of experienced neurologist | See footnote 1. |
Tremor | None | Tremor-controlling drugs are not effective for cerebellar tremors. |
Dysarthria | Speech/language therapy | Consider alternative communication methods as needed (e.g., writing pads digital devices). Dysphagia |