has material basis in germline mutation in ELOVL5 spinocerebellar ataxia type 38 https://www.malacards.org/card/spinocerebellar_ataxia_38 MEDGEN:1379865 spinocerebellar ataxia 38 Spinocerebellar ataxia type 38 (SCA38) is a subtype of autosomal dominant cerebellar ataxia type 3 characterized by the adult-onset (average age: 40 years) of truncal ataxia, gait disturbance and gaze-evoked nystagmus. The disease is slowly progressive with dysarthria and limb ataxia following. Additional manifestations include diplopia and axonal neuropathy. OMIM:615957 SCA38 Orphanet:423296 SCTID:734021001 GARD:0012369 MONDO:0014417 spinocerebellar ataxia type 38 UMLS:C4518337 DOID:0050985 disorder of phospholipids, sphingolipids and fatty acids biosynthesis autosomal dominant cerebellar ataxia type III