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Living with Severe X-linked myotubular myopathy

A genetic muscle condition, mostly in males, that causes weak muscles and breathing and feeding problems from birth.

Understanding Severe X-linked myotubular myopathy

Severe X-linked myotubular myopathy is a genetic condition that mainly affects the muscles used for movement and occurs almost only in males.

Muscle weakness and low muscle tone are usually seen at birth. They slow skills such as sitting, standing and walking, and can cause feeding trouble. Many people need a machine to help them breathe (mechanical ventilation), some only during sleep and others all the time. Other features can include weak eye and face muscles, scoliosis, joint stiffness, seizures and liver disease.

Signs & symptoms

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

  • Weak muscles from birth
  • Low muscle tone (hypotonia)
  • Breathing difficulties
  • Feeding trouble and poor suck
  • Weak swallowing muscles
  • Frequent chest infections

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 and genetic specialists.

  3. Consider genetic testing

    Changes in MTM1 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

    Joshua Frase Foundation and Muscular Dystrophy Association 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)
Expert care
Expert lists: Joshua Frase Foundation, Muscular Dystrophy Association
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 Joshua Frase Foundation 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
Can genetic testing of the MTM1 gene confirm this diagnosis?
What breathing and feeding support do we need?
How should the liver and spine be monitored?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceX-Linked
GenesMTM1

GARD lists changes in the MTM1 gene. The condition is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: centronuclear myopathy, x-linked; cnmx; mtm; myotubular myopathy 1; myotubular myopathy, x-linked; myotubular myopathy, x-linked, x-linked recessive

Patient organizations

Source: NIH GARD · Severe X-linked myotubular myopathyGARD ID 11925 · 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 Severe X-linked myotubular myopathy.

Explore the Severe X-linked myotubular myopathy blog

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