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Living with Hypermanganesemia with dystonia

An inherited condition in which manganese builds up in the body and brain, causing movement problems.

Understanding Hypermanganesemia with dystonia

Hypermanganesemia with dystonia is an inherited condition in which too much manganese builds up in the body.

Manganese builds up especially in the brain area that coordinates movement. This causes dystonia (involuntary, sustained muscle contractions) and other uncontrolled movements. There are two types, HMDPC (hypermanganesemia with dystonia 1) and hypermanganesemia with dystonia 2. In HMDPC, signs usually start in childhood, between ages 2 and 15, or in adulthood. Children often have dystonia in the arms and legs, a high-stepping walk, tremor, slow movement, and slurred speech. Adults have Parkinson-like movement problems.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes:

  • Involuntary muscle contractions (dystonia)
  • High-stepping walk
  • Tremor
  • Slow movement (bradykinesia)
  • Slurred speech (dysarthria)
  • Muscle rigidity and balance problems

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 type of hypermanganesemia with dystonia do I have?
How are manganese levels measured and treated?
Would genetic testing help our family?

Quick facts

Two types have been found, and they have different genetic causes. In HMDPC, manganese builds up in the blood, brain, and liver.

Also known as: familial manganese-induced neurotoxicity; hmndyt - hypermanganesemia with dystonia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hypermanganesemia with dystoniaGARD ID 22727 · 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 Hypermanganesemia with dystonia.

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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