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Diseases

Genetic and Rare Diseases Information Center (GARD)

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Congenital muscular dystrophy type 1A


Other Names for this Disease

  • LAMA2-related muscular dystrophy
  • Laminin alpha-2 deficiency
  • MDC1A
  • Merosin-deficient congenital muscular dystrophy
  • Merosin-negative congenital muscular dystrophy
See Disclaimer regarding information on this site. Some links on this page may take you to organizations outside of the National Institutes of Health.

Your Question

I am a school nurse and have a new student attending our school with this diagnosis. I would like to learn more about the disease and what we can do to make this student as comfortable as possible.

Our Answer

We have identified the following information that we hope you find helpful. If you still have questions, please contact us.

What is congenital muscular dystrophy type 1A?

Congenital muscular dystrophy type 1A (MDC1A) belongs to a group of neuromuscular disorders that beings at birth or infancy and is characterized mainly by hypotonia, muscle weakness and muscle wasting. Other signs and symptoms include rigidity of the spine; scoliosis; and delayed, limited motor development, with most individuals needing assistive devices for mobility. Respiratory problems, feeding disorders and seizures may also occur. With time, affected individuals may develop an elongated face and ophthalmoplegia disorders (paralysis or weakness in muscles of the eye). Intellectual development is typically normal. The prognosis is poor, as many affected children do not reach adolescence. It is caused by mutations in the LAMA2 gene and is inherited in an autosomal recessive manner. Treatment is generally symptomatic and includes a multidisciplinary approach.[1]
Last updated: 9/26/2011

What are the signs and symptoms of congenital muscular dystrophy type 1A?

Infants with congenital muscular dystrophy type 1A (MDC1A) typically have poor muscle tone (hypotonia) and muscle weakness at birth. Within weeks after birth, some affected infants may have feeding and respiratory difficulties. Motor development is often delayed and limited. Most affected infants can sit unsupported and some can stand without assistance. Only a few children with MDC1A are eventually able to walk unassisted.[2] Additional signs and symptoms that affected individuals may experience include joint contractures (stiff or "frozen" joints), congenital hip dislocation, scoliosis, and ophthalmoplegia (paralysis or weakness in the muscles of the eye).[2] Affected children may also develop an elongated face. Approximately 20-30% experience seizures.[3] The majority of affected individuals have normal intellectual abilities.[3] The prognosis of this condition is poor, as many affected children do not reach adolescence.[1]

Although most individuals affected with MDC1A have complete deficiency of the merosin protein, a few individuals have only a partial deficiency. Among individuals with a partial deficiency, the severity and age of onset varies greatly.[3] One study reported that approximately 12% of individuals have later onset, slowly progressive weakness.[4]
Last updated: 9/26/2011

How might congenital muscular dystrophy type 1A be treated?

There is currently no cure for congenital muscular dystrophy type 1A (MDC1A) and treatment generally focuses on managing the individual signs and symptoms of the condition. A multidisciplinary approach is often needed and may improve the quality and longevity of life. This may include a joint effort by orthopedic and respiratory specialists; physiotherapists; occupational therapists; and speech-language therapists. The main objective is helping each affected individual reach their full potential. Seizures or other neurological complications may require specific treatment. The prognosis of this condition is poor, as many affected children do not reach adolescence.[1]
Last updated: 9/26/2011

How might an individual with congenital muscular dystrophy type 1A be helped in a school environment?

Children with congenital muscular dystrophy type 1A (MDC1A) often need mechanical assistive devices, such as walkers, canes, orthotics and wheelchairs; these may be used as needed around school to help ambulation and mobility. It has also been recommended that posture, while standing and sitting, be evaluated and assisted if necessary because improved posture may improve chest expansion. Assistance such as a school technical aide can help affected children increase their social involvement and productivity. Providing resources for social and emotional support is also helpful and can reduce the sense of social isolation that is common in individuals with congenital muscular dystrophies.[3]

Last updated: 9/26/2011

References
Other Names for this Disease
  • LAMA2-related muscular dystrophy
  • Laminin alpha-2 deficiency
  • MDC1A
  • Merosin-deficient congenital muscular dystrophy
  • Merosin-negative congenital muscular dystrophy
See Disclaimer regarding information on this site. Some links on this page may take you to organizations outside of the National Institutes of Health.