Short answer · Medically reviewed summary · Last updated: 2026-05-08

Multiple Systems Atrophy (MSA) is a rare, progressive neurodegenerative disorder with an estimated prevalence of approximately 1.9 to 4.4 per 100,000 individuals worldwide. Due to the complexity of the condition, Multiple Systems Atrophy is frequently underdiagnosed or misdiagnosed as Parkinson’s disease, meaning true prevalence rates may be higher than currently reported in clinical literature. What is the incidence and age of onset for Multiple Systems Atrophy? The annual incidence of Multiple Systems Atrophy is estimated at 0.6 to 0.7 per 100,000 person-years.

2 people with Multiple Systems Atrophy have shared their first-person experience on this question at DiseaseMaps.

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What is the prevalence of Multiple Systems Atrophy?

Prevalence of Multiple Systems Atrophy: how many people are affected worldwide, differences by sex and region, with sources.

Prevalence of Multiple Systems Atrophy

Multiple Systems Atrophy (MSA) is a rare, progressive neurodegenerative disorder with an estimated prevalence of approximately 1.9 to 4.4 per 100,000 individuals worldwide. Due to the complexity of the condition, Multiple Systems Atrophy is frequently underdiagnosed or misdiagnosed as Parkinson’s disease, meaning true prevalence rates may be higher than currently reported in clinical literature.



What is the incidence and age of onset for Multiple Systems Atrophy?


The annual incidence of Multiple Systems Atrophy is estimated at 0.6 to 0.7 per 100,000 person-years. It is strictly an adult-onset condition, typically appearing in the sixth decade of life, with the average age of onset falling between 50 and 60 years. Multiple Systems Atrophy is rarely diagnosed in individuals under the age of 30.



Are there variations in how Multiple Systems Atrophy affects different populations?


Epidemiological data suggests a slight gender bias, with Multiple Systems Atrophy affecting men marginally more often than women. While the disease is global, some studies have noted variations in the prevalence of specific clinical subtypes (MSA-P vs. MSA-C) across different geographic regions, though these differences are often attributed to diagnostic criteria rather than true ethnic predilection.



Why is gathering accurate data on Multiple Systems Atrophy difficult?


Obtaining precise statistics for Multiple Systems Atrophy remains a significant challenge for researchers for several reasons:



  • Diagnostic Overlap: Early symptoms often mimic other movement disorders, leading to misdiagnosis.

  • Rapid Progression: The aggressive nature of the disease can complicate long-term longitudinal studies.

  • Under-reporting: Many cases go unrecognized in primary care settings before referral to specialized neurology centers.


At DiseaseMaps.org, we have seen 911 people with Multiple Systems Atrophy join our community, providing a vital, real-world perspective that complements clinical data by highlighting the lived experience of patients often missed by traditional registries.



Next steps



  • Consult a movement disorder specialist or neurologist to discuss diagnostic criteria.

  • Join the DiseaseMaps.org community to connect with other families navigating Multiple Systems Atrophy.

  • Review resources from the NIH GARD for information on current clinical trials and research opportunities.



Medical disclaimer: This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment; always seek the advice of your physician regarding a medical condition.



References



  • Orphanet: Rare Disease Database (ORPHA:587)

  • NIH Genetic and Rare Diseases Information Center (GARD)

  • OMIM (Online Mendelian Inheritance in Man) entry for Multiple System Atrophy

  • The Multiple System Atrophy Coalition

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-05-08
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
3 answers
Estimated prevalence of multiple system atrophy is about 4 persons per 100,000.

Posted Jul 11, 2017 by Pam Bower 2952
Fewer than 5 in 100,000 people are diagnosed with MSA.

Posted Mar 23, 2018 by [email protected] 3020

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I was a carer to my sister Maureen who passed away from MSA in April 2014. I am more than happy to talk to anyone re: this disease (Multiple System Atrophy) & point them in the right direction for further information, or to just lend an ear if someon...
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My story is really my family's story. In 2010, after a year or so of steadily more frequent falls and dropping things and such. Many different Doctor appointments and being told, "You drink too much", "You abused your body too much when you were you...
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My mom , Khadija , was diagnosed with Parkinson's disease in 2011 due to difficulty in fine movements like inserting a key into the keyhole in the car. Mom was not responsive to medications prescribed by her neurologists nor did she have a unilateral...
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THERE WAS NOTHING UNUSUAL DURING MY CHILDHOOD, OTHER THAN BEING THE OLDEST CHILD WITH TWO ALCOHOLIC PARENTS AND THE RESPONSIBILITY THAT ENTAILS. AS A YOUNG ADULT I PUT MYSELF IS A HIGH STRESS LIFESTYLE. A YOUNG DIVORCEE SINGLE MOM WORKING MULTIPLE J...

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Multiple Systems Atrophy forum

MULTIPLE SYSTEMS ATROPHY FORUM
Multiple Systems Atrophy forum
Does anyone with MSA experience the sensation like you are "bobbing up and down" on a boat?  I experience this most of the time.  It tends to lessen by standing up or laying down!  If so, do you know what it is?   
Multiple Systems Atrophy forum
Anyone with this? Hoe is it? https://clinicaltrials.gov/ct2/show/NCT02388295?term=msa&rank=4
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Thanks for adding your marker to the World MSA map. If you know others from the various MSA forums please encourage them to do the same. Did you know... A 57 page booklet of MSA information is available to download from the MSA Coalition website.&nbs...
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When: October 14 - 15, 2016 Where: New Orleans, Louisiana, USA Register now and get your FREE ticket at Http://www.MultipleSystemAtrophy.org Tentative Conference Schedule Many thanks to this year’s medical host, David Houghton, M...
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Chicago and area MSA support group meeting April 17th 2-4PM Goodwill Crystal Lake - 1016 Central Park Drive, Crystal Lake, IL. Contact John Standley [email protected] 815-403-2221

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