VPS13A and chorea-acanthocytosis: While viewing from phenotypic aspects, ChAc can manifest as chorea, dystonia, cognitive impairment, seizures, psychosis, and even Parkinsonian features (Ueno et al., 2001), thus bearing immense resemblance to Huntington’s disease, dystonia, epilepsy, Parkinsonism, etc. Hence, the multifarious VPS13A mutation patterns, intricate symptom complex and overlapped clinical features enable diagnosis and differential diagnosis of ChAc an enormous challenge.