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Living with FASTKD2-related infantile mitochondrial encephalomyopathy

A rare genetic condition affecting energy-making parts of cells (mitochondria), causing delays, seizures and weakness on one side, starting in infancy.

Understanding FASTKD2-related infantile mitochondrial encephalomyopathy

FASTKD2-related infantile mitochondrial encephalomyopathy is a rare genetic disorder of the mitochondria, the energy centers of cells, that affects the brain and muscles.

It starts in infancy with developmental delay, slowly worsening weakness on one side of the body (hemiplegia), and hard-to-control seizures. Brain scans show shrinkage on one side. Other features include damage to the optic nerve and mildly raised lactic acid levels.

Signs & symptoms

GARD doesn't list a separate symptom list. Its summary describes:

  • Developmental delay
  • Slowly worsening weakness on one side
  • Seizures that are hard to control
  • Shrinking on one side of the brain
  • Optic nerve damage (optic atrophy)

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 FASTKD2 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

    United Mitochondrial Disease Foundation and MitoAction 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: United Mitochondrial Disease Foundation, MitoAction
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 United Mitochondrial Disease 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
Should we have genetic testing for the FASTKD2 gene?
Which seizure medicines or therapies could help?
Which specialists should follow my child's care?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive, Mitochondrial
GenesFASTKD2

Changes in the FASTKD2 gene cause it. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: fast kinase domains 2-related infantile mitochondrial encephalomyopathy

Patient organizations

Source: NIH GARD · FASTKD2-related infantile mitochondrial encephalomyopathyGARD ID 17026 · 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 FASTKD2-related infantile mitochondrial encephalomyopathy.

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  • Eligibility is confirmed by the study team

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