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Living with Richieri Costa-da Silva syndrome

A rare genetic condition starting in childhood with muscle stiffness and overgrowth, short height, bone differences, and learning disability.

Understanding Richieri Costa-da Silva syndrome

Richieri Costa-da Silva syndrome is a rare genetic muscle condition that begins in childhood and causes severe muscle stiffness (myotonia).

Muscles may be larger than usual, and walking gets harder over time. People are short and have bone differences such as a pigeon chest and curving of the spine. Intellectual disability is mild to moderate. There are no facial differences or joint limits. GARD says there have been no further descriptions in the literature since 1984.

Signs & symptoms

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

  • Muscle stiffness (myotonia), such as in the grip
  • Enlarged muscles (muscle hypertrophy)
  • Short height
  • Curved spine (kyphoscoliosis)
  • Pigeon chest (pectus carinatum)
  • Painful muscle spasms and falls

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 bone and joint specialists, 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.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 for this condition?
What can help with muscle stiffness and walking?
Which specialists should monitor my bones and spine?

Quick facts

Symptoms usually startChild

GARD says changes in genes cause this condition but does not name a gene or list an inheritance pattern.

GeneticNeurological

Also known as: myotonia-intellectual disability-skeletal anomalies syndrome; myotonia, intellectual disability, skeletal anomalies syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Richieri Costa-da Silva syndromeGARD ID 4709 · 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 Richieri Costa-da Silva syndrome.

Explore the Richieri Costa-da Silva syndrome blog

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Explore actively recruiting Richieri Costa-da Silva syndrome studies with HealthSpark.

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