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Living with Fatal multiple mitochondrial dysfunctions syndrome

A severe condition in infants in which the energy-making parts of cells work poorly, affecting the brain, growth, and sometimes the heart and lungs.

Understanding Fatal multiple mitochondrial dysfunctions syndrome

Fatal multiple mitochondrial dysfunctions syndrome is a severe condition in which mitochondria, the energy centers of cells, have reduced function at more than one stage.

Signs begin early in life. Infants typically have severe brain dysfunction (encephalopathy), which can cause weak muscle tone, seizures, and delayed development. Many have trouble growing and a buildup of lactic acid. Some also have high blood pressure in the lungs' blood vessels or a weakened heart muscle.

Signs & symptoms

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

  • Brain dysfunction (encephalopathy)
  • Weak muscle tone (hypotonia)
  • Seizures
  • Delayed development
  • Slow growth and weight gain
  • Lactic acid buildup (lactic acidosis)

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

    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
Is genetic testing available to find the gene involved?
Which specialists should be on my child's care team?
What supportive care is available for feeding and seizures?

Quick facts

InheritanceAutosomal Recessive, Mitochondrial

Changes in genes cause it. GARD lists autosomal recessive and mitochondrial inheritance but doesn't name a gene.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: mmds - multiple mitochondrial dysfunctions syndrome; multiple mitochondrial dysfunctions syndrome

Patient organizations

Source: NIH GARD · Fatal multiple mitochondrial dysfunctions syndromeGARD ID 12632 · 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 Fatal multiple mitochondrial dysfunctions syndrome.

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