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Living with Mitochondrial myopathy-cerebellar ataxia-pigmentary retinopathy syndrome

A rare mitochondrial muscle condition with muscle weakness, poor coordination, slow growth, and sometimes eye changes.

Understanding Mitochondrial myopathy-cerebellar ataxia-pigmentary retinopathy syndrome

Mitochondrial myopathy-cerebellar ataxia-pigmentary retinopathy syndrome is a rare mitochondrial muscle condition that also affects balance and the retina.

It starts with delays in motor development in infancy, slow growth, and weakness mostly in the muscles close to the center of the body. A small part of the brain that helps with balance, the cerebellum, is smaller from early on, but this does not get worse over time. Some people also have learning difficulties, bone differences, tremors, and retina changes.

Signs & symptoms

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

  • Muscle weakness and low muscle tone
  • Delays in reaching motor skills
  • Slow growth
  • Walking difficulty
  • Delayed speech and language development
  • Hearing impairment

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 MSTO1 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

    National Ataxia Foundation, 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: National Ataxia Foundation, 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 National Ataxia 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 MSTO1 gene confirm this diagnosis?
Should my eyes or my child's eyes be checked for retina changes?
What therapies can help with muscle strength and balance?

Quick facts

Symptoms usually startInfant and as an Adult
InheritanceAutosomal Dominant, Mitochondrial
GenesMSTO1

This condition is caused by changes in the MSTO1 gene. GARD lists autosomal dominant and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: mitochondrial myopathy-cerebellar atrophy-pigmentary retinopathy syndrome; mitochondrial myopathy, cerebellar ataxia, pigmentary retinopathy syndrome; mitochondrial myopathy, cerebellar atrophy, pigmentary retinopathy syndrome; myopathy, mitochondrial, and ataxia

Patient organizations

Source: NIH GARD · Mitochondrial myopathy-cerebellar ataxia-pigmentary retinopathy syndromeGARD ID 17934 · 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 Mitochondrial myopathy-cerebellar ataxia-pigmentary retinopathy syndrome.

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