An axonal form of CMT is clinically similar to SMA

European researchers have identified thirty individuals with a rare form of axonal CMT disease with mutations in the NEFH gene, coding a neurofilament (CMT type 2CC). An analysis of the clinical and laboratory data shows that:

  • the first impairments, essentially motor in nature, appear in the patients’ 30s, but progress quickly to a situation of major disability (with loss of ability to walk), unlike the usual forms of CMT;
  • muscle deficit is often proximal to begin with, which is not usual in CMT;
  • as a result, there is an overlap between the phenotype of CMT 2CC and that of SMN1 gene-related proximal spinal muscular dystrophy.


Charcot-Marie-Tooth disease type 2CC due to NEFH variants causes a progressive, non-length-dependent, motor-predominant phenotype. Pipis M, Cortese A, Polke JM, Poh R, Vandrovcova J, Laura M, Skorupinska M, Jacquier A, Juntas-Morales R, Latour P, Petiot P, Sole G, Fromes Y, Shah S, Blake J, Choi BO, Chung KW, Stojkovic T, Rossor AM, Reilly MM. J Neurol Neurosurg Psychiatry. 2021 (Sept).