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Living with Congenital multicore myopathy with external ophthalmoplegia

A rare genetic muscle condition causing weakness from infancy, including weakness of the eye muscles.

Understanding Congenital multicore myopathy with external ophthalmoplegia

Congenital multicore myopathy with external ophthalmoplegia is a rare genetic muscle condition that causes muscle weakness starting in infancy.

It may cause low muscle tone (hypotonia) in newborns, delayed movement skills, and generalized muscle weakness. It can also weaken the muscles that move the eyes (external ophthalmoplegia). Under the microscope, muscle samples show small areas called minicores.

Signs & symptoms

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

  • Low muscle tone (generalized hypotonia)
  • Muscle weakness
  • Delayed movement skills (motor delay)
  • Weak or paralyzed eye muscles
  • Feeding difficulties
  • Less fetal movement before birth

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 and Muscular Dystrophy Association 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, Muscular Dystrophy Association
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 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
Would RYR1 gene testing help us understand my child's condition?
What can help with feeding and breathing?
Which specialists should follow my child's muscles and eyes?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRYR1

It is caused by changes in the RYR1 gene, which makes a protein called ryanodine receptor 1. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: cmyo1b; congenital myopathy 1b, autosomal recessive; minicore myopathy; minicore myopathy with external ophthalmoplegia; minicore myopathy, antenatal onset, with arthrogryposis; multiminicore disease with external ophthalmoplegia

Patient organizations

Source: NIH GARD · Congenital multicore myopathy with external ophthalmoplegiaGARD ID 10316 · 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 Congenital multicore myopathy with external ophthalmoplegia.

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