RARE DISEASERESEARCH ATLAS

ORPHA:53583

Paroxysmal dystonic choreathetosis with episodic ataxia and spasticity

low confidenceDisorder

Also known as: DYT9 · Episodic choreoathetosis/spasticity

Query health: suspect — Only one of 2 strategies returned hits (phrase).

Publications

17,604

Trials

0

Interventional, condition-specific

Researchers

1,301

Distinct authors in sample

Gene link

SLC2A1

Strong

Readiness

3/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic, paroxysmal dystonia disorder characterized by childhood to adolescent-onset of episodic paroxysmal choreoathetosis, triggered mainly by sudden movements, prolonged exercise, anxiety and emotional stress, in association with spastic paraparesis (onest in adulthood), gait , mild to moderate cognitive impairment, and/or epileptic . Episodes typically last from a few minutes to hours, have a variable frequency (daily to yearly), and are relieved by rest. Frequency of episodes tends to decrease with age.

How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (3)

dystonia 9 · dystonia type 9 · episodic choreoathetosis/spasticity

Research stages

Trial readiness signals

Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”

3/6 stages with a signal

No matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Strong — SLC2A1

  2. LiteraturePresent

    17,604 matched papers (12,185 in last 10 years) Source

  3. Phenotype characterisedPresent

    27 HPO annotations (e.g. Paresthesia; Diplopia; Choreoathetosis) Source

  4. Animal modelNot found

    No Alliance genotype “model of” associations via Monarch for these Mondo IDs

  5. Orphan designationNot found

    No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source

  6. Interventional trialNot found

    No matched interventional trial under our ClinicalTrials.gov rules

Biology

Genes and phenotypes

Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.

Do we know what causes it?

Yes — we know a specific gene responsible (SLC2A1).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

27

Associated phenotypes · MONDO:0010983

  • Paresthesia
  • Diplopia
  • Choreoathetosis
  • Cognitive impairment
  • Abnormal pyramidal sign

Showing 5 of 27 — open Monarch for the full list.

Animal models (Monarch / Alliance)

None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.

Monarch fetch 2026-07-27

Therapies

Designations, candidates, and chemicals

FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.

Orphan designation (FDA · EMA)

No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.

Open Targets candidates

No drugs or clinical candidates returned for this Mondo ID on Open Targets.

CTD chemicals (MyDisease.info)

1 associated chemical · 25 pathways. Therapeutic evidence is listed first when present — not a treatment recommendation.

  • Phenytoin · marker/mechanism

Pathways: HIF-1 signaling pathway; Insulin secretion; Thyroid hormone signaling pathway; Adipocytokine signaling pathway; Glucagon signaling pathway; Insulin resistance; Bile secretion; HTLV-I infection

MyDisease.info · MONDO:0010983

Literature

Is anyone studying this?

17,604

17,604 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.

17,604 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).

12,185 in the last 10 years · low confidence

Phrase hits: 696 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

1,301

Distinct author names in 200 sampled papers — named people below.

Who's working on it?

No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.

  1. 01
    Yadav R4 papers · 2024

    Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.

    Papers in Europe PMC
  2. 02
    Hallett M3 papers · 2025

    Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.

    Papers in Europe PMC
  3. 03
    Jinnah HA3 papers · 2025

    Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta, GA.

    Papers in Europe PMC
  4. 04
    Lang AE3 papers · 2025

    Edmond J. Safra Program in Parkinson's Disease, the Rossy Progressive Supranuclear Palsy Centre, and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

    Papers in Europe PMC
  5. 05
    Liu Y3 papers · 2025

    Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, CHN.

    Papers in Europe PMC
  6. 06
    Merk T3 papers · 2026

    Movement Disorders Unit, ,

    Papers in Europe PMC
  7. 07
    Pal PK3 papers · 2024

    Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.

    Papers in Europe PMC
  8. 08
    Pandey S3 papers · 2025

    Department of Neurology and Stroke Medicine, Amrita Institute of Medical Sciences, Faridabad, Delhi National Capital Region, India.

    Papers in Europe PMC
  9. 09
    Yang Y3 papers · 2026

    Department of Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, National Medical Center for Infectious Diseases, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.

    Papers in Europe PMC
  10. 10
    Banerjee TK2 papers · 2026

    Department of Neurology, National Neurosciences Centre, Kolkata, India.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

0

interventional trials for this specific condition

No interventional trial testing a treatment matched this specific condition name. 1 observational study did — shown below because natural-history and cohort work can be an important step toward a trial.

Data as of 9 September 2026 · last trial check 9 September 2026

No matched interventional trials. This is true for 77.2% of diseases in the trials denominator (5501 of 7126). Here are the researchers publishing on it.

low confidence · 38.6th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.

See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Observational and natural-history studies

1 observational study matches this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.

Recruiting or not-yet-recruiting

Open the complete matched search on ClinicalTrials.gov

General rare disease registries you may be eligible for

These studies enroll across many rare conditions. They are not counted as evidence that anyone is studying this specific disease.

Other registries (secondary)

Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.

raw 29 · after dedupe 29 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 1 · dropped 28 · fetched 2026-07-27

Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri

No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).

Uncertain / not reviewed (1)

Where to find support

Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.

Orphanet entry for Paroxysmal dystonic choreathetosis with episodic ataxia and spasticity — check Associations / patient organisations on that page.

India — NPRD

Last verified 2026-07-26

This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.

Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.

How we counted this

Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.

("Paroxysmal dystonic choreathetosis with episodic ataxia and spasticity" OR "Episodic choreoathetosis/spasticity" OR "dystonia 9" OR "dystonia type 9") OR (MESH:"Choreoathetosis-Spasticity, Episodic") OR ("SLC2A1" OR "SLC2A1 syndrome" OR "SLC2A1-related")

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Choreoathetosis-Spasticity, Episodic

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Paroxysmal dystonic choreathetosis with episodic ataxia and spasticity" OR "Episodic choreoathetosis/spasticity" OR "dystonia 9" OR "dystonia type 9" OR "Choreoathetosis-Spasticity, Episodic"

Study-type breakdown: 0 interventional · 1 observational · 0 expanded access. Only interventional studies enter the trial headline.

Query health: suspect — strategies attempted: phrase, mesh; with hits: phrase

Run this search on ClinicalTrials.gov

Synonyms dropped by stoplist: DYT9

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • 1 synonym(s) dropped by stoplist (may under-count)
  • No label/synonym collisions with other diseases in this corpus
  • Publication count (17604) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity

Ingested 2026-07-26T01:35:34.041Z