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Living with Distal hereditary motor neuropathy type 7

A rare, slowly worsening genetic nerve condition that weakens the hands, then the legs, and can affect the voice and breathing.

Understanding Distal hereditary motor neuropathy type 7

Distal hereditary motor neuropathy type 7 is a rare, slowly progressive genetic nerve condition that weakens muscles in the hands, legs, and voice box.

The condition causes muscle shrinkage and weakness, starting in the hands (especially the muscle at the base of the thumb) and later the legs. It can also weaken one or both vocal cords, leading to a hoarse voice and breathing difficulty. Facial weakness may occur as well. Symptoms can begin anywhere from childhood to adulthood.

Signs & symptoms

GARD doesn't list specific symptoms for this condition separately, but the summary describes these features:

  • Weakness and muscle shrinkage in the hands
  • Later weakness in the legs
  • Weak vocal cords
  • Hoarse voice
  • Trouble breathing
  • Weak facial muscles

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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 The Foundation for Peripheral Neuropathy 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
Who should check my vocal cords and breathing?
What therapy can help keep hand function?
Would genetic testing help our family?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Dominant

GARD says changes in a person's genes cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurological

Also known as: dhmn7; distal spinal muscular atrophy with vocal cord paralysis

Patient organizations

Source: NIH GARD · Distal hereditary motor neuropathy type 7GARD ID 16960 · 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 Distal hereditary motor neuropathy type 7.

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