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Living with Microcephaly-complex motor and sensory axonal neuropathy syndrome

An extremely rare inherited condition with a small head and nerve damage that causes weakness and muscle loss, with thinking skills intact.

Understanding Microcephaly-complex motor and sensory axonal neuropathy syndrome

Microcephaly-complex motor and sensory axonal neuropathy syndrome is an extremely rare inherited nerve condition that also causes a small head.

It is a rare type of hereditary motor and sensory neuropathy (a condition affecting the nerves that control movement and feeling). It causes a severe nerve problem that progresses quickly, along with a small head that can be seen before birth. Thinking skills are intact. Features include delayed motor development, low muscle tone, weak or absent reflexes, muscle wasting and weakness, and a curved spine (scoliosis).

Signs & symptoms

GARD doesn't list a set of most common symptoms for this condition. Its summary describes these features:

  • Smaller-than-average head size (microcephaly)
  • Nerve damage that affects both sides of the body
  • Delayed motor development
  • Low muscle tone (hypotonia)
  • Muscle wasting and weakness
  • Curved spine (scoliosis)

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. Consider genetic testing

    Changes in VRK1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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); Genetic specialists (geneticists)
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
Can genetic testing for the VRK1 gene confirm this diagnosis?
What therapies can help with muscle weakness and movement?
How should the spine be watched for scoliosis?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesVRK1

This condition is caused by changes in the VRK1 gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: microcephalus, complex motor and sensory axonal neuropathy syndrome; microcephaly, complex motor and sensory axonal neuropathy syndrome

Patient organizations

Source: NIH GARD · Microcephaly-complex motor and sensory axonal neuropathy syndromeGARD ID 21762 · 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

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