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Living with Hereditary motor and sensory neuropathy with optic atrophy

A rare inherited nerve condition affecting the feet and legs, with vision loss from optic nerve damage.

Understanding Hereditary motor and sensory neuropathy with optic atrophy

Hereditary motor and sensory neuropathy with optic atrophy is a rare inherited condition with nerve damage in the limbs and damage to the optic nerve.

Nerve damage mainly affects the lower legs and feet and varies in severity. Optic atrophy (damage to the nerve of the eye) gets worse over time and often leads to vision loss. People may have weak muscles in the lower limbs, foot differences, poor sight, and rapid eye movements. Some also have hearing loss, stiff joints, scoliosis, or loss of smell.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on the summary, it can include:

  • Weakness and wasting in the lower legs and feet
  • Absent or low reflexes
  • Optic nerve damage with vision loss
  • Poor night and side vision
  • Foot differences
  • Hearing loss

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

    Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association and Muscular Dystrophy Association 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: Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association, Muscular Dystrophy Association
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 Hereditary Neuropathy Foundation Inc. 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
How often should my vision and optic nerves be checked?
Which gene change do I have, and what pattern of inheritance?
Should hearing be tested?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes (also called variants) cause this condition. It can be autosomal dominant or autosomal recessive.

GeneticNeurological

Also known as: charcot-marie-tooth disease type 6; charcot-marie-tooth disease, type 6; cmt6; hereditary motor and sensory neuropathy type 6; hereditary motor and sensory neuropathy type vi; hereditary motor and sensory neuropathy vi

Patient organizations

Source: NIH GARD · Hereditary motor and sensory neuropathy with optic atrophyGARD ID 16787 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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