Congenital fiber type disproportion (CFTD)

Evidence-based neurology checklist on congenital fiber type disproportion (cftd): Genetic mutations TPM3: slow α-tropomyosin: this is the most frequent mutation ACTA1: α skeletal actin RYR1: ryanodine receptor 1 LMNA: laminin A SEPN1: selenoprotein N1 TPM2: β-tropomyosin Transmission Muscle…

Genetic mutations

  • TPM3: slow α-tropomyosin: this is the most frequent mutation
  • ACTA1: α skeletal actin
  • RYR1: ryanodine receptor 1
  • LMNA: laminin A
  • SEPN1: selenoprotein N1
  • TPM2: β-tropomyosin

Transmission

Muscle features

Skeletal features

Cardiac features

Other features

Muscle biopsy

Management

References

  1. Clarke NF, Ilkovski B, Cooper S, et al. The pathogenesis of ACTA1-related congenital fiber type disproportion. Ann Neurol 2007; 61:552-561.
  2. Na SJ, Kim WK, Kim TS, Kang SW, Lee EY, Choi YC. Comparison of clinical characteristics between congenital fiber type disproportion myopathy and congenital myopathy with type 1 fiber predominance. Yonsei Med J 2006; 47:513-518.
  3. North KN, Wang CH, Clarke N, et al; International Standard of Care Committee for Congenital Myopathies. Approach to the diagnosis of congenital myopathies. Neuromuscul Disord 2014; 24:97-116.
  4. Lawlor MW, Dechene ET, Roumm E, Geggel AS, Moghadaszadeh B, Beggs AH. Mutations of tropomyosin 3 (TPM3) are common and associated with type 1 myofiber hypotrophy in congenital fiber type disproportion. Hum Mutat 2010; 31:176-183.
  5. Kajino S, Ishihara K, Goto K, et al. Congenital fiber type disproportion myopathy caused by LMNA mutations. J Neurol Sci 2014; 340:94-98. 
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