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Living with Benign Samaritan congenital myopathy

A rare genetic muscle condition with floppy muscles at birth that gradually improves in the first two years.

Understanding Benign Samaritan congenital myopathy

Benign Samaritan congenital myopathy is a rare genetic muscle disease with very low muscle tone (hypotonia) from birth.

Newborns can have breathing trouble, delays in motor milestones, and certain facial features, such as a narrow forehead, folds at the inner eye corners, and wide-set eyes. Muscle tone and weakness gradually improve within the first two years of life. Few signs remain in adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low muscle tone throughout the body (hypotonia)
  • Delayed motor milestones
  • Weak cry
  • Weaker reflexes
  • Narrow forehead and wide-set eyes
  • Folds at the inner corners of the eyes

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 RYR1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    RYR-1 Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: RYR-1 Foundation
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 RYR-1 Foundation
  • 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
Can RYR1 gene testing confirm the diagnosis?
How will you follow my child's breathing and muscle strength?
What should we expect for motor milestones over the first years?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRYR1

Changes in the RYR1 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Patient organizations

Source: NIH GARD · Benign Samaritan congenital myopathyGARD ID 21445 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Benign Samaritan congenital myopathy.

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