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Living with Polyneuropathy, lethal neonatal, axonal sensorimotor, autosomal recessive

A very rare inherited nerve condition that begins before birth, with reduced fetal movement and severe breathing and muscle problems at birth.

Understanding Polyneuropathy, lethal neonatal, axonal sensorimotor, autosomal recessive

Polyneuropathy, lethal neonatal, axonal sensorimotor, autosomal recessive is a rare genetic nerve condition that begins before birth.

It is a severe nerve disease affecting movement and feeling. During pregnancy it shows as reduced fetal movement and extra amniotic fluid. At birth, babies need help to breathe with a ventilator and have very low muscle tone, weakness that quickly worsens in the hands and feet, and no deep tendon reflexes. Joints are not stiff or fixed.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Its description mentions these:

  • Reduced fetal movement
  • Extra amniotic fluid during pregnancy
  • Needing breathing support at birth
  • Very low muscle tone
  • Fast-worsening weakness in the hands and feet
  • No deep tendon reflexes

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

    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: 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 The Foundation for Peripheral Neuropathy 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
Would genetic testing find the cause, and what would it mean for future pregnancies?
What breathing and comfort support is available for my baby?
Which specialists and family supports should we ask about?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition but doesn't name a gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive lethal neonatal axonal sensorimotor polyneuropathy

Patient organizations

Source: NIH GARD · Polyneuropathy, lethal neonatal, axonal sensorimotor, autosomal recessiveGARD ID 17976 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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