Congenital nemaline myopathy: clinical features

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

Congenital nemaline myopathy: clinical features. Neonatal hypotonia, Feeding difficulties, Delayed motor milestones. Fully referenced neurology checklist.

Developmental features

  • Neonatal hypotonia
  • Feeding difficulties
  • Delayed motor milestones
  • Waddling gait
  • Long and narrow expressionless facies

Weakness: sites

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Other neurological features

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Dental features

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Skeletal features

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Cardiac features

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Differential diagnosis

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References

  1. North KN, Laing NG, Wallgren-Pettersson C. Nemaline myopathy: current concepts. The ENMC International Consortium and Nemaline Myopathy. J Med Genet 1997; 34:705-713.
  2. Sanoudou D, Beggs AH. Clinical and genetic heterogeneity in nemaline myopathy - a disease of skeletal muscle thin filaments. Trends Mol Med 2001; 7:362-368.
  3. Olivé M, Goldfarb LG, Lee HS, et al. Nemaline myopathy type 6: clinical and myopathological features. Muscle Nerve 2010; 42:901-907. 
  4. Christophers B, Lopez MA, Gupta VA, Vogel H, Baylies M. Pediatric nemaline myopathy: a systematic review using individual patient data. J Child Neurol 2022; 37:652-663.
  5. Moreno CAM, Artilheiro MC, Fonseca ATQSM, et al. Clinical manifestation of nebulin-associated nemaline myopathy. Neurol Genet 2023; 9:e200056.
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