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Living with Klippel-Feil anomaly-myopathy-facial dysmorphism syndrome

A rare genetic condition with fused neck bones, weak muscle tone, short height, and distinctive facial features.

Understanding Klippel-Feil anomaly-myopathy-facial dysmorphism syndrome

Klippel-Feil anomaly-myopathy-facial dysmorphism syndrome is a rare genetic condition with fused neck bones, a muscle condition, and facial differences.

The cervical spine bones are fused (Klippel-Feil anomaly). People have low muscle tone, short stature, and a small head. Facial features include low-set ears, a bulbous nose, a long groove above the lip, a high-arched palate, and a low hairline at the back of the neck. Heart differences and other bone differences are also reported. It is noticed in infancy.

Signs & symptoms

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

  • Fused neck bones (Klippel-Feil anomaly)
  • Low muscle tone
  • Delayed motor skills
  • Short stature
  • Small head (microcephaly)
  • Webbed neck and low back hairline

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 bone and joint specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MYO18B are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
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
Can genetic testing for the MYO18B gene confirm the diagnosis?
Is my child's neck stable, and are any precautions needed?
Should the heart be checked?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesMYO18B

Changes in the MYO18B gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: klippel-feil anomaly, myopathy, facial dysmorphism syndrome; klippel-feil syndrome 4, autosomal recessive, with myopathy and facial dysmorphism; klippel-feil syndrome 4, autosomal recessive, with nemaline myopathy and facial dysmorphism

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Klippel-Feil anomaly-myopathy-facial dysmorphism syndromeGARD ID 17778 · 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 Klippel-Feil anomaly-myopathy-facial dysmorphism syndrome.

Explore the Klippel-Feil anomaly-myopathy-facial dysmorphism syndrome blog

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