Long-term data on the evolution of patients with congenital myopathy

The Centre de référence des maladies neuromusculaires of the Institute of Myology conducted a single-centre observational study of 142 adult patients with congenital myopathy followed up between 1996 and 2019, for a median duration of 8 years.

  • Congenital myopathies with cores linked to the RYR1 gene and centronuclear myopathies linked to the DNM2 gene were the most frequent.
  • The disease appeared prenatally in 5.8% of patients, at birth in 28.1%, during childhood in 47.9%, in adolescence in 3.3% and in adulthood in 14.9%.
  • Scoliosis was reported in 25.3% of patients. Early surgical arthrodesis was performed in almost a third of these patients.
  • Cardiac problems, generally mild, were observed in 5.6% of patients. These were either conduction and rhythm disorders, or cardiomyopathy and contractile disorders.
  • A mild restrictive respiratory syndrome was observed in 71.8% of patients, a moderate syndrome in 18.8% and a severe syndrome in 4.7%. Four patients (4.7%) underwent tracheostomy.
  •  Half the patients walked independently, 36.7% required minimal assistance, 12.3% needed unilateral or bilateral walking aids, and 15.7% were in wheelchairs.
  • Twenty patients were unable to walk, some having never acquired the ability to walk and others having lost it.

 

Disease Trajectories of a Large French Cohort of 142 Congenital Myopathy Patients in Adult Age. Bisciglia M, Severa G, Romero N M et al. Eur J Neurol. 2025 Apr.