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Living with Autosomal dominant childhood-onset proximal spinal muscular atrophy without contractures

A rare inherited condition in which spinal cord nerve cells break down, causing weakness mostly in the thighs.

Understanding Autosomal dominant childhood-onset proximal spinal muscular atrophy without contractures

Autosomal dominant childhood-onset proximal spinal muscular atrophy without contractures is a hereditary nerve and muscle disorder in which spinal cord motor nerve cells break down.

It causes muscle weakness mainly in the upper legs. It is also known as DYNC1H1-related spinal muscular atrophy. It starts at a variety of ages.

Signs & symptoms

GARD lists these among the less common symptoms:

  • Weakness in the upper legs
  • Delayed walking
  • Reduced knee reflex
  • Foot differences
  • Delayed development

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in DYNC1H1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with DYNC1H1 Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which therapies help with leg weakness and walking?
Would DYNC1H1 testing help my relatives?
How often should strength and mobility be checked?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesDYNC1H1

GARD says changes in the DYNC1H1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: dync1h1-related autosomal dominant childhood-onset proximal spinal muscular atrophy; dync1h1-related lower extremity-predominant autosomal dominant proximal spinal muscular atrophy; kugelberg-welander syndrome, autosomal dominant; lower extremity-predominant autosomal dominant proximal spinal muscular atrophy without contractures; smaled1; spinal muscular atrophy, childhood, proximal, autosomal dominant

Patient organizations

  • DYNC1H1 AssociationAutosomal dominant childhood-onset proximal spinal muscular atrophy without contractures · United States
  • Simons SearchlightAutosomal dominant childhood-onset proximal spinal muscular atrophy without contractures · United States
Source: NIH GARD · Autosomal dominant childhood-onset proximal spinal muscular atrophy without contracturesGARD ID 13519 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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