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Living with Neuronopathy, distal hereditary motor, autosomal recessive 3

A rare inherited nerve and muscle condition with slowly worsening weakness in the hands and feet that later spreads closer to the center of the body.

Understanding Neuronopathy, distal hereditary motor, autosomal recessive 3

Neuronopathy, distal hereditary motor, autosomal recessive 3 (distal spinal muscular atrophy type 3) is a rare nerve and muscle condition.

It causes slowly worsening weakness and wasting that mainly affect the ends of the limbs. Later, the muscles closer to the center of the body and the trunk are involved, with a marked curve in the lower back. Late in the condition the diaphragm, the main breathing muscle, can be affected. It can start at a variety of ages.

Signs & symptoms

GARD doesn't list a symptom list, but the summary describes these features:

  • Weakness and wasting in the hands and feet
  • Weakness that spreads to muscles near the center of the body
  • Marked curve in the lower back (hyperlordosis)
  • Diaphragm weakness late in the condition

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Muscular Dystrophy Association and 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: Muscular Dystrophy Association, 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 Cure SMA 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
Is genetic testing available to find the cause?
How often should my breathing muscles be tested?
Which therapies can help with weakness and posture?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. A child inherits a changed copy of a gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: autosomal recessive distal spinal muscular atrophy type 3; dhmn3 and dhmn4; distal hereditary motor neuropathy type 3 and type 4; distal spinal muscular atrophy type 3; distal spinal muscular atrophy, autosomal recessive 3; dsma3

Patient organizations

Source: NIH GARD · Neuronopathy, distal hereditary motor, autosomal recessive 3GARD ID 16956 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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