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Living with Mitochondrial complex II deficiency, nuclear type 1

A mitochondrial disease in which cells make less energy, with symptoms ranging from serious infant problems to muscle disease in adulthood.

Understanding Mitochondrial complex II deficiency, nuclear type 1

Mitochondrial complex II deficiency, nuclear type 1 is a mitochondrial disease in which the cell's energy factories do not work properly.

Mitochondria make more than 90% of the energy the body needs. Symptoms can vary greatly, from serious symptoms in infancy to muscle disease that begins in adulthood. Carriers of the genetic changes may have a higher risk of certain cancers.

Signs & symptoms

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

  • Thickened heart muscle (hypertrophic cardiomyopathy)
  • Generalized muscle weakness
  • Tiring easily
  • Loss of skills already gained (developmental regression)
  • Muscle stiffness (spasticity)
  • Muscle jerk-type seizures (myoclonic seizures)

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 SDHA 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

    United Mitochondrial Disease Foundation and MitoAction 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: United Mitochondrial Disease Foundation, MitoAction
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
Can genetic testing for the SDHA gene confirm this diagnosis?
Do carriers in my family need cancer screening?
Which heart and muscle specialists should be involved?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial
GenesSDHA

This condition is caused by changes in the SDHA gene. Complex II deficiency can also be caused by changes in the SDHB, SDHD, or SDHAF1 genes. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: isolated mitochondrial respiratory chain complex ii deficiency; isolated succinate dehydrogenase deficiency; isolated succinate-coenzyme q reductase deficiency; isolated succinate-coq reductase deficiency; isolated succinate-ubiquinone reductase deficiency; mitochondrial complex ii deficiency

Patient organizations

Source: NIH GARD · Mitochondrial complex II deficiency, nuclear type 1GARD ID 5053 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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