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Living with Congenital myopathy with myasthenic-like onset

A rare genetic muscle condition with weakness that worsens with activity, droopy eyelids, and feeding trouble from infancy.

Understanding Congenital myopathy with myasthenic-like onset

Congenital myopathy with myasthenic-like onset is a rare genetic muscle condition with muscle weakness that gets worse with activity.

Babies have low muscle tone in the trunk, a muscle-weak face with droopy eyelids that tire easily, and feeding difficulties. Gross motor skills are delayed, and the upper arms and upper legs are weak. Curved spine (scoliosis) and frequent respiratory infections are also seen. It starts in newborns and infants.

Signs & symptoms

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

  • Weakness that worsens with activity
  • Droopy upper eyelids (ptosis)
  • Low muscle tone in the trunk
  • Feeding difficulties
  • Delayed movement skills (motor delay)
  • Curved spine (scoliosis)

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 our family?
GARD lists malignant hyperthermia. What should I tell doctors before anesthesia?
How should we watch for breathing infections and scoliosis?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRYR1

It is caused by changes in the RYR1 gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Patient organizations

Source: NIH GARD · Congenital myopathy with myasthenic-like onsetGARD ID 21783 · 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 myopathy with myasthenic-like onset.

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