Overview
CLN13 disease, also known as adult-onset neuronal ceroid lipofuscinosis type 13 or Kufs disease type B (cathepsin F type), is an extremely rare inherited brain disorder. It belongs to a group of conditions called neuronal ceroid lipofuscinoses (NCLs), sometimes referred to as Batten disease. In CLN13 disease, the body cannot properly break down certain waste materials inside cells, leading to a buildup of fatty substances called lipofuscins in the brain and other tissues. This buildup gradually damages nerve cells over time. Symptoms typically begin in adulthood, usually between the ages of 20 and 40. The disease mainly affects the brain and nervous system, causing progressive problems with movement, thinking, and behavior. People may first notice difficulty with coordination, tremors, or changes in personality and mood. Over time, cognitive decline (dementia), seizures, speech difficulties, and movement problems such as stiffness or involuntary movements can develop. Vision is usually preserved in this form, which helps distinguish it from childhood-onset forms of NCL. There is currently no cure for CLN13 disease. Treatment focuses on managing symptoms, such as using anti-seizure medications to control epilepsy and providing supportive therapies like physical therapy, occupational therapy, and speech therapy. The disease is progressive, meaning symptoms worsen over time. Research into potential therapies, including gene therapy and enzyme replacement, is ongoing for the broader group of NCL disorders, but no disease-modifying treatment is yet available for CLN13 specifically.
Key symptoms:
Progressive dementia (worsening memory and thinking problems)Seizures or epilepsyDifficulty with coordination and balance (ataxia)TremorsInvoluntary muscle movements (myoclonus)Muscle stiffness or rigidityPersonality and behavior changesDepression or other mood changesSpeech difficultiesDifficulty walkingSlow, progressive decline in daily functioningMotor problems that worsen over time
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Adult
Begins in adulthood (age 18 or older)
Treatments
No FDA-approved treatments are currently listed for CLN13 disease.
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Rare Disease Specialist
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to CLN13 disease.
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Caregiver Resources
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Family & Caregiver Grants
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Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.What stage of CLN13 disease am I in, and what symptoms should I expect next?,What medications are best for managing my seizures, and what are the side effects?,Are there any clinical trials or research studies I could participate in?,How often should I have follow-up appointments and brain imaging?,What therapies (physical, occupational, speech) would benefit me most right now?,Should my family members be tested for the CTSF gene mutation?,What resources or support services are available for me and my family?
Common questions about CLN13 disease
What is CLN13 disease?
CLN13 disease, also known as adult-onset neuronal ceroid lipofuscinosis type 13 or Kufs disease type B (cathepsin F type), is an extremely rare inherited brain disorder. It belongs to a group of conditions called neuronal ceroid lipofuscinoses (NCLs), sometimes referred to as Batten disease. In CLN13 disease, the body cannot properly break down certain waste materials inside cells, leading to a buildup of fatty substances called lipofuscins in the brain and other tissues. This buildup gradually damages nerve cells over time. Symptoms typically begin in adulthood, usually between the ages of 2
How is CLN13 disease inherited?
CLN13 disease follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does CLN13 disease typically begin?
Typical onset of CLN13 disease is adult. Age of onset can vary across affected individuals.
Which specialists treat CLN13 disease?
1 specialists and care centers treating CLN13 disease are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.