A rare case of X-linked centronuclear myopathy in a neonate

Authors

  • Santosh N. Department of Paediatrics and Neonatology, Apollo Cradle and Children’s Hospital, Jayanager, Bangalore, Karnataka, India
  • Ravi Kyadiggeri Department of Paediatrics and Neonatology, Apollo Cradle and Children’s Hospital, Jayanager, Bangalore, Karnataka, India
  • Prahlad Kadambi Department of Paediatrics and Neonatology, Apollo Cradle and Children’s Hospital, Jayanager, Bangalore, Karnataka, India
  • K. S. Sriranjini Department of Paediatrics and Neonatology, Apollo Cradle and Children’s Hospital, Jayanager, Bangalore, Karnataka, India
  • Apoorva Pallam Reddy Department of Obstetrics and Gynaecology, Apollo Cradle and Children’s Hospital, Jayanager, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20250419

Keywords:

Centronuclear myopathy, Myotubular myopathy, Whole exome sequencing

Abstract

We present the case of a late preterm male neonate who was limp at birth requiring extensive resuscitation in delivery room, requiring mechanical ventilation requiring higher settings and progressively worsening respiratory failure. Investigative panel reports later showed that the baby had a X-Linked myotubular myopathy (XLMTM)-centronuclear myopathy (CNM), which was the diagnosis responsible for the baby’s clinical presentation. Although CNMs do not have a specific treatment, early diagnosis of milder variants and understanding their pathophysiology helps in further facilitating diagnostic approach for the future.

Metrics

Metrics Loading ...

References

Pierson CR, Tomczak K, Agrawal P, Moghadaszadeh B, Beggs AH. X-Linked myotubular and centronuclear myopathies. J Neuropathol Exp Neurol. 2005;64(7):555-64. DOI: https://doi.org/10.1097/01.jnen.0000171653.17213.2e

Laporte J, Biancalana V, Tanner SM, Kress W, Schneider V, Wallgren-Pettersson C, et al. MTM1 mutations in X-linked myotubular myopathy. Hum Mutat. 2000;15(5):393-409. DOI: https://doi.org/10.1002/(SICI)1098-1004(200005)15:5<393::AID-HUMU1>3.0.CO;2-R

Jungbluth H, Wallgren-Pettersson C, Laporte J. Centronuclear (myotubular) myopathy. Orphanet J Rare Dis. 2008;3:26. DOI: https://doi.org/10.1186/1750-1172-3-26

Herman GE, Finegold M, Zhao W, de Gouyon B, Metzenberg A. Medical complications in long-term survivors with X-linked myotubular myopathy. J Pediatr. 1999;134(2):206-14. DOI: https://doi.org/10.1016/S0022-3476(99)70417-8

McEntagart M, Parsons G, Buj-Bello A, Biancalana V, Fenton I, Little M, et al. Genotype-phenotype correlations in X-linked myotubular myopathy. Neuromuscul Disord. 2002;12(10):939-46. DOI: https://doi.org/10.1016/S0960-8966(02)00153-0

Lawlor MW, Dowling J. X-linked myotubular myopathy. Neuromuscular Disorders. 2021;31(10):1004-12. DOI: https://doi.org/10.1016/j.nmd.2021.08.003

Molera C, Sarishvili T, Nascimento A, Rtskhiladze I, Bartolo G, Cebrián S, et al. Intrahepatic Cholestasis Is a Clinically Significant Feature Associated with Natural History of X-Linked Myotubular Myopathy (XLMTM): A Case Series and Biopsy Report. J Neuromuscular Dis. 2021;9(1):73-82. DOI: https://doi.org/10.3233/JND-210712

Zhang H, Chang M, Chen D, Yang J, Zhang Y, Sun J, et al. Congenital myopathies: pathophysiological mechanisms and promising therapies. J Translational Med. 2024;22(1):815. DOI: https://doi.org/10.1186/s12967-024-05626-5

Simon A, Diedhiou N, Reiss D, Goret M, Grandgirard E, Laporte J. Potential compensatory mechanisms preserving cardiac function in myotubular myopathy. Cellular Molecular Life Sci. 2024;81(1)476. DOI: https://doi.org/10.1007/s00018-024-05512-9

Kozhanova T, Zhilina S, Meshcheryakova T, Abramov A, Ayvasyan S, Zavadenko N. Whole-exome sequencing is the molecular-genetic test of the first-line in developmental and epileptic encephalopathies. L.O. Badalyan Neurol J. 2024;5(2):90-8. DOI: https://doi.org/10.46563/2686-8997-2024-5-2-90-98

Bryen S, Oates E, Evesson F, Lu J, Waddell L, Joshi H, et al. Pathogenic deep intronic MTM1 variant activates a pseudo-exon encoding a nonsense codon resulting in severe X-linked myotubular myopathy. Eur J Human Genetics. 2020;29(1):1-6. DOI: https://doi.org/10.1038/s41431-020-00715-7

Findlay A, Weihl C. Genetic-Based Treatment Strategies for Muscular Dystrophy and Congenital Myopathies. Continuum. 2022;28(6):1800-16. DOI: https://doi.org/10.1212/CON.0000000000001203

Downloads

Published

2025-02-24

How to Cite

N., S., Kyadiggeri, R., Kadambi, P., Sriranjini, K. S., & Reddy, A. P. (2025). A rare case of X-linked centronuclear myopathy in a neonate. International Journal of Contemporary Pediatrics, 12(3), 509–511. https://doi.org/10.18203/2349-3291.ijcp20250419

Issue

Section

Case Reports