A case report of X-linked centronuclear myopathy in a neonate: clinical presentation, therapeutic process, and genetic insights - Report - MDSpire

A case report of X-linked centronuclear myopathy in a neonate: clinical presentation, therapeutic process, and genetic insights

  • By

  • Huan Liao

  • Mengyuan Jiang

  • Xinyan Zhong

  • Xiaohua Luo

  • Hongsheng Qiu

  • Hua Pan

  • Jinghui Gan

  • Shibing Zhong

  • July 14, 2026

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Clinical Report: Insights on X-Linked Centronuclear Myopathy in Neonates

Background

X-linked centronuclear myopathy is a rare neuromuscular disorder that primarily affects males and is characterized by severe muscle weakness and respiratory failure. The condition is caused by mutations in the MTM1 gene, with an estimated incidence of 1 in 50,000 males.

Data Highlights

No numerical or trial data available in the source material.

Key Findings

  • The case involved a male infant born at 36 weeks of gestation with severe asphyxia and low birth weight.
  • Initial evaluations revealed severe respiratory distress and low muscle tone, leading to the need for intensive care.
  • Genetic testing identified a rare variant in the MTM1 gene, confirming the diagnosis of XLCNM.
  • Despite comprehensive treatment efforts, the infant's condition did not stabilize, resulting in the withdrawal of therapy.
  • This case emphasizes the need for early recognition of XLCNM in neonates with unexplained low muscle tone and respiratory dependency.

Clinical Implications

Genetic counseling is essential for families affected by this condition to understand the implications of the diagnosis.

Conclusion

This case report highlights the challenges in diagnosing and managing X-linked centronuclear myopathy in neonates.

Related Resources & Content

  1. X-Linked Myotubular Myopathy, NCBI, 2023 -- Disease background and diagnosis
  2. Frontiers in Immunology — Case Report: Novel CXCR2 compound heterozygous variants in an infant with neutropenia
  3. Frontiers in Psychiatry — Clinical heterogeneity and diagnostic challenges in CASK-related neurodevelopmental disorders: a longitudinal observational study
  4. conexiant — Unusual Neonatal Presentation of 48,XXYY
  5. Brain — The Broadened Clinical and Genetic Landscape of Disorders Associated with DYNC1H1
  6. Case Report: Novel CXCR2 compound heterozygous variants in an infant with neutropenia
  7. Clinical heterogeneity and diagnostic challenges in CASK-related neurodevelopmental disorders
  8. Unusual Neonatal Presentation of 48,XXYY
  9. X-Linked Myotubular Myopathy
  10. [ Critical Care Guidelines and Consensus Statement
  11. Safety and efficacy of gene replacement therapy for X-linked myotubular myopathy (ASPIRO): a multinational, open-label, dose-escalation trial - ScienceDirect

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