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Living with NARP syndrome

A condition that mainly affects the nervous system, with nerve problems, poor balance, and vision loss, starting in childhood or early adulthood.

Understanding NARP syndrome

NARP syndrome (neuropathy, ataxia, and retinitis pigmentosa) is a condition that mainly affects the nervous system.

It usually begins in childhood or early adulthood and gets worse over time. Most people have numbness, tingling, or pain in the arms and legs, muscle weakness, and balance and coordination problems. Many have vision loss from retina changes. Children may have learning disabilities and developmental delays. Seizures, hearing loss, and heart rhythm changes can occur.

Signs & symptoms

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

  • Numbness, tingling, or pain in the limbs (sensory neuropathy)
  • Poor balance and coordination (ataxia)
  • Vision loss
  • Eye movements that can't be controlled (nystagmus)
  • Delayed development
  • Hearing loss

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 seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in MT-ATP6 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

    Muscular Dystrophy Association, Epilepsy Foundation and United Mitochondrial Disease Foundation 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); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Muscular Dystrophy Association, Epilepsy Foundation, United Mitochondrial Disease Foundation
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 Muscular Dystrophy Association 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 genetic testing for the MT-ATP6 gene?
How often should my eyes, hearing, and heart be checked?
Which specialists should be on my care team?

Quick facts

Symptoms usually startChild
InheritanceMitochondrial
GenesMT-ATP6

GARD lists changes in the MT-ATP6 gene. It is inherited through mitochondrial DNA.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: narp (neurogenic muscle weakness, ataxia, retinitis pigmentosa) syndrome; neurogenic muscle weakness-ataxia-retinitis pigmentosa syndrome; neurogenic muscle weakness, ataxia and retinitis pigmentosa; neuropathy-ataxia-retinitis pigmentosa syndrome

Patient organizations

Source: NIH GARD · NARP syndromeGARD ID 262 · 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 NARP syndrome.

Explore the NARP syndrome blog

Explore research for NARP syndrome

Explore actively recruiting NARP syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for NARP syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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