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A subtype of Charcot-Marie-Tooth disease with genetic defects on the X chromosome.
No HPO annotations are available for this condition.
Age of onset: adolescence.
Neuropathy. Manifestations typically develop between ages five and 25 years; many males are symptomatic by early adolescence . Earlier onset with delayed walking in infancy as well as later onset in the fourth and subsequent decades can occur. In some individuals, manifestations can be extremely mild and go unrecognized by the individual and/or physician. Clinical manifestations can vary, even within the same family. Although both men and women are affected, manifestations tend to be less severe in women because of X-chromosome inactivation, as a result of which some women may remain asymptomatic .
GJB1 Charcot-Marie-Tooth neuropathy with or without central nervous system dysfunction (CMT1X) should be suspected in an individual with the following clinical findings, electrophysiologic findings, and family history.
Clinical findings
Peripheral motor and sensory neuropathy with or without the following:
Occasionally fixed CNS abnormalities
No approved treatments are currently available for Charcot-Marie-Tooth disease type X. The disease remains an area of unmet medical need.
Individuals with GJB1 Charcot-Marie-Tooth neuropathy with or without central nervous system dysfunction (CMT1X) are often evaluated and managed by a multidisciplinary team that includes neurologists, physiatrists, orthopedic surgeons, physical therapists, and occupational therapists.
To establish the extent of disease and needs in an individual diagnosed with CMT1X , the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
Table 3.
Recommended Surveillance for Individuals with CMT1X
System/Concern | Evaluation | Frequency
| • Screening neurologic exam focused on motor system cerebellar function
Eval for pain
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
25 publications have been identified in PubMed for Charcot-Marie-Tooth disease type X. Research spans Case Report / Case Series (44%), Basic Science / Preclinical (24%), and Diagnostic / Biomarker (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 11 | 44% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:59 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Charcot-Marie-Tooth disease type X
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Acute, self-limited episodes of transient neurologic dysfunction, especially weakness and dysarthria
Stroke-like episodes. Acute fulminant episodes of reversible CNS dysfunction, usually with peripheral neuropathy or a family history of peripheral neuropathy
Familial ataxia with peripheral neuropathy
Electrophysiologic findings. Nerve conduction velocities (NCVs):
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Neuropathy. See CMT Overview. Stroke-like episodes and peripheral neuropathy. Disorders to consider in the differential diagnosis include the following:
MELAS (mitochondrial encephalopathy lactic acidosis and stroke) due mitochondrial DNA (mtDNA) variants
POLG-related disorders
CADASIL ; however, peripheral neuropathy has not been seen in all studies .
Fabry disease manifesting with ischemic stroke and small fiber neuropathy
Metabolic encephalopathy or ischemia due to complications of diabetes mellitus, kidney disease, or liver disease
Neurosarcoidosis
Lupus and other collagen vascular diseases
Vasculitis
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Biomarker and diagnostic research for Charcot-Marie-Tooth disease type X has been reported in the published literature.
Table 2.
Recommended Evaluations Following Initial Diagnosis in Individuals with CMT1X
System/Concern | Evaluation | Comment
| Neurologic eval | • To determine extent of weakness atrophy, pes cavus, gait stability, sensory loss
To evaluate for pain
To evaluate for less common fixed manifestations (e.g., spasticity, hyperreflexia, ataxia)
To determine if affected person /or any family member has had episodes of acute transient neurologic dysfunction
| Orthopedics / physical medicine rehab / PT/OT eval | To incl assessment of:
Gross motor fine motor skills need for PT (to improve gross motor skills) /or OT (to improve fine motor skills)
Feet for evidence of pes cavus, need for AFOs, specialized shoes
Mobility, activities of daily living, need for adaptive devices
Need for handicapped parking
| Audiologic eval | Assessment for hearing loss if concerns
Miscellaneous/
| Consultation w/clinical geneticist /or genetic counselor | To incl genet...
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Obesity is to be avoided because it makes walking more difficult. Medications that are toxic or potentially toxic to persons with CMT comprise a spectrum of risk ranging from definite high risk to negligible risk. See the Charcot-Marie-Tooth Association website (pdf) for an up-to-date list. Affected individuals should be informed of the small possibility of stroke-like episodes, which appears to be higher in younger individuals with a family history or in individuals who have a variant previously associated with such events . The author recommends advising affected individuals that the avoidance of known precipitants such as hyperventilation or exertion [, , , ], re-acclimatization after return from high altitude , fever , head trauma , or minor infections may reduce the likelihood of such events. However, these recommendations must be balanced with quality-of-life considerations.
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
1 trial found
| Annually
| • PT (gross motor skills) ADL
OT (fine motor skills) ADL
| For pressure sores or poorly fitting footwear | Annually by physician; more often by affected person
ADL = activities of daily living; OT = occupational therapy; PT = physical therapy
Source: GeneReviews — "GJB1 Disorders: Charcot-Marie-Tooth Neuropathy (CMT1X) and Central Nervous System Phenotypes"
Estimated prevalence: 1-9 in 100,000 (Uncommon).
Laboratory research |
6 |
24% |
Testing and diagnosis research | 3 | 12% |
New treatment approaches | 3 | 12% |
Clinical study results | 1 | 4% |
Disease patterns and progression | 1 | 4% |
Thatikala A (2026). [PMID: 41505685](https://pubmed.ncbi.nlm.nih.gov/41505685/). *Neurology*. [Clinical Trial Publication]
Kagiava A (2026). [PMID: 41289961](https://pubmed.ncbi.nlm.nih.gov/41289961/). *EBioMedicine*. [Gene Therapy / Novel Therapeutics]
Zhong J (2026). [PMID: 41757265](https://pubmed.ncbi.nlm.nih.gov/41757265/). *Front Genet*. [Case Report / Case Series]
Carretero-Vilarroig L (2026). [PMID: 41560358](https://pubmed.ncbi.nlm.nih.gov/41560358/). *Eur J Neurol*. [Diagnostic / Biomarker]
Chang MC (2026). [PMID: 41871978](https://pubmed.ncbi.nlm.nih.gov/41871978/). *J Int Med Res*. [Case Report / Case Series]
Zheng H (2026). [PMID: 42091193](https://pubmed.ncbi.nlm.nih.gov/42091193/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Guo J (2026). [PMID: 41628834](https://pubmed.ncbi.nlm.nih.gov/41628834/). *Neurobiology of disease*. [Basic Science / Preclinical]
Lavriha P (2025). [PMID: 41350533](https://pubmed.ncbi.nlm.nih.gov/41350533/). *Nature communications*. [Case Report / Case Series]
Li G (2025). [PMID: 39956630](https://pubmed.ncbi.nlm.nih.gov/39956630/). *Zhonghua yi xue za zhi*. [Case Report / Case Series]
Mahmood M (2025). [PMID: 40156251](https://pubmed.ncbi.nlm.nih.gov/40156251/). *IUBMB life*. [Basic Science / Preclinical]