| Phenotype details |
Childhood onset; Frequent falls; Respiratory & Cardiac problems, arrhythmia, mild MR & TR; Generalized muscle weakness & wasting, proximal>distal, lower>upper limbs; Kyphoscoliosis; Abnormal gait; Proximal laxity; Cervical rigid spine; Flat feet, bilateral; Deformed ankle bones; Difficulty walking, running & climbing steps; Thin build; Elevated CPK; Muscle biopsy: tubular aggregate myopathy with rare necrosis/regeneration; EMG-NCV: the one with proximal & distal polymyopathy without irritative feature, the other one in favor of neuromuscular junction instability. |