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Living with Congenital myasthenic syndrome

Information, shared experiences and research connections for people living with congenital myasthenic syndrome and those who support them.

Understanding Congenital myasthenic syndrome

Congenital myasthenic syndromes (CMS) are a group of inherited conditions that make muscles weak and quick to tire, because signals between nerves and muscles don't pass normally.

CMS is caused by changes in genes, most often inherited from both parents; symptoms usually start at birth or in early childhood and range from mild weakness to being unable to walk.

Signs & symptoms

Symptoms vary widely from person to person. They can include:

  • Weak muscles that tire easily, often worse with activity
  • Drooping eyelids or trouble moving the eyes
  • Trouble feeding, chewing or swallowing
  • Delays in sitting, crawling or walking
  • Breathing problems, including pauses in breathing (apnea), sometimes brought on by illness or fever
  • Spine or foot differences, or stiff joints

Tell your care team about new or changing symptoms.

Diagnosis

  1. Exam and history

    A clinician does a physical and neurological exam and reviews symptoms and medical history.

  2. Nerve and muscle tests

    Blood tests, nerve conduction studies and EMG can show how well nerves and muscles are communicating.

  3. Genetic testing

    Genetic testing can help identify the specific gene change responsible for CMS.

Care & treatment

Treatment
Medicines may be used to help maintain or improve muscle function.
Therapy and support
Physical, speech and occupational therapy, assistive devices, breathing support and feeding support can all be part of care.
Your team
Care often brings together several specialists, such as neurologists, geneticists and eye doctors.

Discuss benefits, risks and follow-up with your care team.

Everyday life

Planning ahead can help on hard days and during illness.

  • Note what seems to bring on weakness or breathing problems, such as fever, infection or physical effort.
  • Keep copies of genetic test results and a current medicine list to share with every provider.
  • Ask your care team for a plan for what to do if breathing or feeding gets harder during an illness.
Bring these questions to your next doctor visit
Which gene change causes this CMS, and what does that mean for care?
What signs of breathing trouble mean we should get emergency care?
Should other family members consider genetic counseling or testing?
Sources: NIH GARD — Congenital myasthenic syndrome · MedlinePlus Genetics — Congenital myasthenic syndromes · NINDS — Congenital myasthenic syndromePage drafted from NIH sources · Know Rare editorial review pending. General information to support conversations with your care team.

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