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Living with Walker-Warburg congenital muscular dystrophy

An inherited condition present at birth that affects muscles, brain, and eyes.

Understanding Walker-Warburg congenital muscular dystrophy

Walker-Warburg syndrome is an inherited disorder that affects the development of muscles, brain, and eyes.

It is the most severe of the congenital muscular dystrophies, which cause muscle weakness beginning very early in life. Babies have low muscle tone. The brain has a bumpy surface (cobblestone lissencephaly), and some have extra fluid in the brain. Eye differences are common, and some people have seizures.

Signs & symptoms

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

  • Low muscle tone and muscle weakness
  • Brain surface lacking folds (lissencephaly)
  • Global developmental delay
  • Small or missing eyeballs
  • Clouding of the cornea or lens
  • Glaucoma

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, genetic specialists and seizure and epilepsy 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 Epilepsy Foundation 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); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Muscular Dystrophy Association, Epilepsy Foundation
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 Muscular Dystrophy Association 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
Could genetic testing find the gene involved?
Which specialists should be on my child's care team?
What supports can help with muscle weakness and development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive

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

GeneticNeurologicalInherited Metabolic

Also known as: cerebroocular dysplasia-muscular dystrophy syndrome; hard (hydrocephalus, agyria, retinal dysplasia) syndrome; hard syndrome; hydrocephalus-agyria-retinal dysplasia syndrome; hydrocephalus, agyria and retinal dysplasia; muscular dystrophy-dystroglycanopathy, type a

Patient organizations

Source: NIH GARD · Walker-Warburg congenital muscular dystrophyGARD ID 2599 · 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 Walker-Warburg congenital muscular dystrophy.

Explore the Walker-Warburg congenital muscular dystrophy blog

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