• Internal medicine · Dec 2024

    Case Reports

    X-linked Myotubular Myopathy Manifesting Carrier with Central and Peripheral Nervous System Involvement.

    • Yosuke Takeuchi, Teruaki Masuda, Noriyuki Kimura, Kaori Sumi, Mika Jikumaru, Nobuyuki Eura, Ichizo Nishino, and Etsuro Matsubara.
    • Department of Neurology, Faculty of Medicine, Oita University, Japan.
    • Intern. Med. 2024 Dec 15; 63 (24): 337133753371-3375.

    AbstractX-linked myotubular myopathy (XLMTM) is a rare genetic disorder caused by X-linked mutations in the MTM1 gene. Although heterozygous females are typically asymptomatic, affected cases have recently been reported. We herein report a case of XLMTM manifesting carrier of the pathogenic c.206dupG mutation in MTM1 with uncommon extramuscular symptoms. She developed gaze nystagmus and cognitive impairment in addition to muscle weakness. Electrophysiological studies and brain magnetic resonance imaging indicated the involvement of the central and peripheral nervous systems. XLMTM manifesting carriers may have a wider spectrum of clinical phenotypes than currently assumed. Appropriate follow-up of extramuscular and conventional muscular manifestations is important in such cases.

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