Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Autosomal recessive spastic ataxia 4 ?
    ### Response:
    What are the signs and symptoms of Autosomal recessive spastic ataxia 4? The Human Phenotype Ontology provides the following list of signs and symptoms for Autosomal recessive spastic ataxia 4. If the information is available, the table below includes how often the symptom is seen in people with this condition.
    