Congenital myasthenic syndromes (CMS) presenting in adulthood

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

Congenital myasthenic syndromes (CMS) presenting in adulthood. DOK7, RAPSN, LRP4, COLQ, Slow-channel syndrome. Fully referenced neurology checklist.

Frequent adult forms

  • DOK7
  • RAPSN
  • LRP4
  • COLQ
  • Slow-channel syndrome

Rare adult forms

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Demographic features

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Clinical features

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Differential diagnosis

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Treatment

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References

  1. Kao JC, Milone M, Selcen D, Shen XM, Engel AG, Liewluck T. Congenital myasthenic syndromes in adult neurology clinic: a long road to diagnosis and therapy. Neurology 2018; 91:e1770-e1777.
  2. Santos M, Cruz S, Peres J, et al. DOK7 myasthenic syndrome with subacute adult onset during pregnancy and partial response to fluoxetine. Neuromuscul Disord 2018; 28:278-282.
  3. Beeson D. Congenital myasthenic syndromes. ACNR 2005; 4:12-13.
  4. Garg N, Yiannikas C, Hardy TA, et al. Late presentations of congenital myasthenic syndromes: how many do we miss? Muscle Nerve 2016; 54:721-727.
  5. Eymard B, Stojkovic T, Sternberg D, et al; Membres du réseau national Syndromes Myasthéniques Congénitaux. Congenital myasthenic syndromes: difficulties in the diagnosis, course and prognosis, and therapy-The French National Congenital Myasthenic Syndrome Network experience. Rev Neurol (Paris) 2013; (169 Suppl 1):S45-S55. 
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