Congenital myasthenic syndrome (CMS): RAPSN

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Congenital myasthenic syndrome (CMS): RAPSN. This results from Rapsyn deficiency. Fully referenced neurology checklist.

Genetics and pathology

  • This results from Rapsyn deficiency
  • The causative mutations are on chromosome 11p
  • It is a post synaptic disorder
  • It causes acetylcholine receptor deficiency

Onset

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Clinical features

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Treatment

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References

  1. Spillane J, Beeson DJ, Kullmann DM. Myasthenia and related disorders of the neuromuscular junction. JNNP 2010; 81:850-857.
  2. Finlayson S, Beeson D, Palace J. Congenital myasthenic syndrome: an update. Pract Neurol 2013; 13:80-91.
  3. Muller JS, Abicht A, Burke G, et al. The congenital myasthenic syndrome mutation RAPSN N88K derives from an ancient Indo-European founder. J Med Genet 2004; 41:e104.
  4. Beeson D. Congenital myasthenic syndromes. ACNR 2005; 4:12-13.
  5. Garg N, Yiannikas C, Hardy TA, et al. Late presentations of congenital myasthenic syndromes: how many do we miss? Muscle Nerve 2016; 54:721-727. 
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