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Living with Charcot-Marie-Tooth disease axonal type 2Z

A rare inherited nerve condition that can start with low muscle tone in infancy or later with leg weakness.

Understanding Charcot-Marie-Tooth disease axonal type 2Z

Charcot-Marie-Tooth disease axonal type 2Z is a rare, inherited nerve disease affecting movement and feeling.

It can begin early with low muscle tone and weakness, or later with weakness and wasting in the lower legs, cramps, and loss of feeling. Weakness may spread, unevenly, to the upper arms and legs. Some people have muscle stiffness and learning difficulties.

Signs & symptoms

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

  • Weakness in the lower legs
  • Wasting of lower leg muscles
  • Weakness in the arms
  • Trouble walking and running
  • Babinski sign (a nerve reflex finding)
  • Nerve myelin changes

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 MORC2 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

    The Foundation for Peripheral Neuropathy 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: The Foundation for Peripheral Neuropathy
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 CMT Research Foundation 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
Can MORC2 genetic testing confirm the diagnosis?
Should learning and development be checked?
What therapy can help with strength and walking?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesMORC2

Changes in the MORC2 gene cause this condition. It is inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: autosomal dominant axonal charcot-marie-tooth disease type 2z; autosomal dominant charcot-marie-tooth disease type 2 due to morc2 (morc family cw-type zinc finger 2) mutation; autosomal dominant charcot-marie-tooth disease type 2 due to morc2 mutation; autosomal dominant charcot-marie-tooth disease type 2z; charcot-marie-tooth disease caused by mutation in morc2; charcot-marie-tooth disease, axonal, autosomal dominant, type 2z

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease axonal type 2ZGARD ID 17829 · 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 Charcot-Marie-Tooth disease axonal type 2Z.

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