MSA is not hereditary except those strains from Japan. Symptoms include ataxia prolems (gate), NOH, balance and coordination (Parkinson like symptoms). Cerebellar problems which cause shut down or changes in the bladder, stomach and bowels), such disease or symptoms of gastroparesis, turbid colon, constant constipation and more. Most MSA patients have no problem with cognitive skills and in fact even until the end the patient is fully aware of what is happening, however they have little control. I was diagnosed in May of 2011 and I am still walking some and have stomach, bowel problems, constant constipation (enema’s) weekly and problems now with movement or arms and legs like joints are painfull. GP says joint problems is due to atrophy of tendons and muscles causing looseness in joints.