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Living with Congenital myopathy with reduced type 2 muscle fibers

A rare genetic muscle condition with severe weakness, low muscle tone, and breathing trouble from birth.

Understanding Congenital myopathy with reduced type 2 muscle fibers

Congenital myopathy with reduced type 2 muscle fibers is a rare genetic muscle condition with severe muscle weakness beginning around birth.

Muscle samples show few or no type II muscle fibers. Babies have low muscle tone and breathing failure at birth. Weakness is mild in the face and severe in the trunk, arms, and legs, with absent reflexes and mild joint contractures. Eye movements and heart function are normal. Signs can start before birth, such as less fetal movement and extra amniotic fluid.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Breathing trouble from weak muscles
  • Feeding difficulties
  • Weak neck, trunk, and limbs
  • Absent reflexes
  • 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 MYL1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 MYL1 gene testing help our family plan future pregnancies?
What breathing and feeding support will my baby need?
Which therapies can help with tight joints and weakness?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesMYL1

It is caused by changes in the MYL1 gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: congenital myopathy 14; congenital myopathy with fast-twitch fiber atrophy; congenital myopathy with reduced type ii muscle fibers; congenital myopathy with type 2 muscle fiber atrophy; congenital myopathy with type ii fiber atrophy; myopathy, congenital, with fast-twitch (type ii) fiber atrophy

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital myopathy with reduced type 2 muscle fibersGARD ID 17989 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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