A clear guide to Episodic Ataxia Type 2
Coordinated Control for Episodic Ataxia Type 2
Episodes of vertigo, ataxia, or imbalance lasting minutes to hours? Episodic ataxia type 2 is a manageable genetic condition affecting coordination, which is not typically dangerous. At Harley AVM, our team stabilises attacks effectively. Seek urgent AVM care for prolonged episodes, severe headaches, vision loss, weakness, or confusion, as these demand immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Genetic Episodic Balance Disorder
An Overview of Episodic Ataxia Type 2
Episodic ataxia type 2 is a rare neurological condition that causes recurrent episodes of balance and coordination difficulty. Attacks may include vertigo, unsteadiness, blurred vision, slurred speech, or difficulty controlling movement, often lasting from hours to days. Between episodes, balance may partially or fully recover.
The condition is genetic and results from altered signalling in brain pathways that coordinate balance and movement, rather than inner-ear damage alone. Triggers can include stress, exertion, illness, or certain medications. Because symptoms overlap with vestibular disorders, recognition can be delayed. Accurate identification is important, as specific medical treatments can significantly reduce attack frequency and severity.
OUR REVIEW
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Episodic Ataxia Type 2
When to Get Checked
You should get assessed if repeated episodes of imbalance, coordination difficulty, or vertigo recur over time, last for hours or days, or are triggered by exertion, stress, or illness. Worsening attack frequency, incomplete recovery between episodes, or associated visual or speech changes should prompt audiovestibular review.
You should seek urgent assessment if symptoms appear suddenly with severe headache, new neurological signs, weakness, difficulty speaking or swallowing, visual loss, or problems walking safely. Our senior audiovestibular clinicians provide rapid, expert evaluation to ensure timely intervention. Early evaluation helps distinguish episodic ataxia from other neurological or vestibular conditions.

How We Assess Episodic Ataxia Type 2
At Harley Audiovestibular Clinic, our process starts with evaluating your detailed history, exploring episode triggers, frequency, duration, family history, and associated symptoms like vertigo, ataxia, or nystagmus to pinpoint episodic ataxia type 2 patterns. We prioritise unhurried consultations with our consultants, fostering a personalised grasp of your condition.
We advance with neurological exams, genetic testing, vestibular function tests, and imaging to confirm the diagnosis accurately, excluding mimics. Our senior clinicians review these collaboratively for precise, comprehensive insights. This expert pathway distinguishes us, informing tailored treatments like acetazolamide that control episodes and enhance stability effectively.

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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Episodic Ataxia Type 2
Every Episodic Ataxia Type 2 case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.