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Living with Isaac syndrome

A rare nerve and muscle disorder with stiff, twitching, or rippling muscles and weaker reflexes.

Understanding Isaac syndrome

Isaacs' syndrome is a rare neuromuscular disorder with muscle stiffness and muscles that keep twitching or contracting.

People have progressive muscle stiffness, muscles that keep contracting or twitching (myokymia), and reduced reflexes. It can start at any time in life. There appear to be inherited and acquired (not inherited) forms.

Signs & symptoms

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

  • Muscle stiffness
  • Muscle twitching (fasciculations)
  • Rippling muscles (myokymia)
  • Muscle spasms
  • Heavy sweating
  • Larger calf muscles

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.

  3. Ask which tests can help

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

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
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 The Foundation for Peripheral Neuropathy 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 do we find out whether my form is inherited or acquired?
Which tests, such as nerve and muscle tests, can confirm the diagnosis?
Which specialist should manage my muscle symptoms?

Quick facts

Symptoms usually startany time in life

The exact cause is unknown. There appear to be hereditary and acquired (non-inherited) forms of the condition.

Neurological

Also known as: acquired neuromyotonia; continuous muscle fiber activity; continuous muscle fiber activity syndrome; continuous muscle fibre activity syndrome; isaacs syndrome; isaacs-mertens syndrome

Patient organizations

Source: NIH GARD · Isaac syndromeGARD ID 6793 · 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 Isaac syndrome.

Explore the Isaac syndrome blog

Explore research for Isaac syndrome

Explore actively recruiting Isaac syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Isaac syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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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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