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Living with Facial onset sensory and motor neuronopathy

A rare, slowly worsening nerve condition that starts with facial tingling and numbness in adults.

Understanding Facial onset sensory and motor neuronopathy

Facial onset sensory and motor neuronopathy (FOSMN) is a rare, slowly progressing disorder of the motor nerves.

It starts with tingling and numbness in the face, which spreads to the scalp, neck, upper trunk, and arms. Later come muscle symptoms such as cramps, twitches, trouble swallowing, slurred speech, weakness, and muscle shrinking. A key sign is a reduced or absent blink reflex when the eye is touched. It usually begins in adulthood.

Signs & symptoms

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

  • Tingling or numbness in the face
  • Muscle twitches
  • Muscle weakness
  • Trouble swallowing (dysphagia)
  • Slurred speech (dysarthria)
  • Muscle wasting

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.

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
Which tests confirm the diagnosis?
Which specialists, such as a nerve specialist, should be involved?
What can help with swallowing and speech?

Quick facts

Symptoms usually startAdult and as an Older Adult

GARD says the cause is currently unknown. Most cases occur by chance in people with no family history.

GeneticNeurological

Also known as: facial onset sensory and motor neuronopathy syndrome; fosmn (facial onset sensory and motor neuronopathy) syndrome; fosmn syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Facial onset sensory and motor neuronopathyGARD ID 12036 · 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 Facial onset sensory and motor neuronopathy.

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