RYR1 centronuclear myopathy (RYR1-CNM)

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

RYR1 centronuclear myopathy (RYR1-CNM). Hypotonia, Motor developmental delay, Proximal weakness, Ptosis. Fully referenced neurology checklist.

Clinical features

  • Hypotonia
  • Motor developmental delay
  • Proximal weakness
  • Ptosis
  • Ophthalmoparesis
  • Facial weakness
  • Bulbar weakness
  • Thoracic deformities

Magnetic resonance imaging (MRI): affected muscles

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Magnetic resonance imaging (MRI): relatively spared muscles

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Muscle biopsy: features

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References

  1. Abath Neto O, Moreno CAM, Malfatti E, et al. Common and variable clinical, histological, and imaging findings of recessive RYR1-related centronuclear myopathy patients. Neuromuscul Disord 2017; 27:975-985. 
  2. Wilmshurst JM, Lillis S, Zhou H, et al. RYR1 mutations are a common cause of congenital myopathies with central nuclei. Ann Neurol 2010; 68:717-726. 
  3. Jungbluth H, Davis MR, Müller C, et al. Magnetic resonance imaging of muscle in congenital myopathies associated with RYR1 mutations. Neuromuscul Disord 2004; 14:785-790.

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