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Living with MERRF syndrome

A mitochondrial condition with muscle twitches, seizures, weakness, and coordination problems, usually starting in childhood or the teens.

Understanding MERRF syndrome

MERRF syndrome (myoclonic epilepsy with ragged-red fibers) is a disorder that affects many parts of the body, especially the muscles and nervous system.

Signs usually appear in childhood or adolescence and vary widely, even within a family. Main features are muscle twitches (myoclonus), weakness, and increasing stiffness. Under the microscope, muscle cells look abnormal (ragged-red fibers). Other features include seizures, poor coordination, nerve problems, and slow decline in thinking.

Signs & symptoms

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

  • Muscle twitches and jerks (myoclonus)
  • Seizures
  • Muscle weakness (myopathy)
  • Poor coordination (ataxia)
  • Hearing loss and optic atrophy
  • Short stature

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, eye disease specialists, genetic specialists and heart and blood vessel 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, MitoAction and Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction, 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 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
Should we have mitochondrial DNA testing for our family?
Which seizure treatments might help?
How often should hearing, vision, and the heart be checked?

Quick facts

Symptoms usually startChild and as an Adult
InheritanceMitochondrial

Changes in genes (also called variants) cause this condition. It is mitochondrial, meaning it is passed from mother to children through the mitochondria in egg cells.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: fukuhara syndrome; merrf; merrf - myoclonic epilepsy with ragged red fibers; myoclonic epilepsy - ragged red fibers; myoclonic epilepsy - ragged red fibres; myoclonic epilepsy associated with ragged-red fibers

Patient organizations

Source: NIH GARD · MERRF syndromeGARD ID 7144 · 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 MERRF syndrome.

Explore the MERRF syndrome blog

Explore research for MERRF syndrome

Explore actively recruiting MERRF syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for MERRF 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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