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Living with Peripheral motor neuropathy-dysautonomia syndrome

A rare condition with slowly worsening muscle weakness in the hands and feet and problems with automatic body functions.

Understanding Peripheral motor neuropathy-dysautonomia syndrome

Peripheral motor neuropathy-dysautonomia syndrome is a rare nerve condition that causes weakness and problems with automatic body functions.

Weakness slowly worsens in the muscles farthest from the center of the body, and muscle wasting begins in childhood. The autonomic nervous system, which controls automatic functions, is also affected. This causes heavy sweating, bluish cold hands and feet, drops in blood pressure on standing, and a swallowing tube problem called achalasia.

Signs & symptoms

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

  • Muscle wasting (atrophy)
  • Heavy sweating
  • Bluish hands or feet, especially in the cold (acrocyanosis)
  • Swallowing tube not relaxing (achalasia)
  • Reduced reflexes
  • Joint stiffness

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

    Dysautonomia International 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: Dysautonomia International
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 Dysautonomia International
  • 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
What can help with swallowing problems from achalasia?
How can I manage dizziness when I stand up?
Which therapies can help with weakness?

Quick facts

Symptoms usually startChild

Changes in the genes (also called variants) cause this condition. GARD doesn't list a specific gene.

GeneticNeurological

Also known as: hereditary dysautonomia with motor neuropathy; lisker garcia ramos syndrome; lisker-garcia-ramos syndrome; peripheral motor neuropathy associated with autonomic dysfunction; peripheral motor neuropathy dysautonomia syndrome

Patient organizations

Source: NIH GARD · Peripheral motor neuropathy-dysautonomia syndromeGARD ID 3791 · 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 Peripheral motor neuropathy-dysautonomia syndrome.

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