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A rare, lethal, congenital myopathy syndrome characterized by decreased fetal movements and polyhydraminos in utero and the presence of akinesia, severe hypotonia with respiratory insufficiency, absent reflexes, joint contractures, skeletal abnormalities with thin ribs and bones, intracranial and retinal hemorrhages and decreased birth weight in the neonate.
Features include always present findings: Polyhydramnios, Retinal hemorrhage, Flexion contracture, and Low muscle tone (hypotonia) and others; and common findings: Centrally nucleated skeletal muscle fibers, Areflexia, EEG with burst suppression, and Subdural hemorrhage. 16 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Centrally nucleated skeletal muscle fibers, Flexion contracture, Low muscle tone (hypotonia) |
DNM2 encodes dynamin 2 (870 aa). Catalyzes the hydrolysis of GTP and utilizes this energy to mediate vesicle scission at plasma membrane during endocytosis and filament remodeling at many actin structures during organization of the actin cytoskeleton. Highest expression in Lung (107.7 TPM) and Skin Sun Exposed Lower leg (97.2 TPM).
Fetal akinesia-cerebral and retinal hemorrhage syndrome is associated with mutations in the DNM2 gene on chromosome 19.
DNM2 is classified as a druggable target (Clinically Actionable, Enzyme, and Transporter categories) with score 4.4.
Genetic testing for DNM2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 9 always present features, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for fetal akinesia-cerebral and retinal hemorrhage syndrome.
6 publications have been identified in PubMed for fetal akinesia-cerebral and retinal hemorrhage syndrome. Research spans Case Report / Case Series (80%) and Review / Meta-Analysis (20%).
Jayanna S (2026). [PMID: 41930014](https://pubmed.ncbi.nlm.nih.gov/41930014/). *Oman J Ophthalmol*. [Case Report / Case Series]
Ramirez DA (2025). [PMID: 38109746](https://pubmed.ncbi.nlm.nih.gov/38109746/). *Retin Cases Brief Rep*. [Case Report / Case Series]
Haliloğlu G (2025). [PMID: 40356365](https://pubmed.ncbi.nlm.nih.gov/40356365/). *J Neuromuscul Dis*. [Review / Meta-Analysis]
McAdam A (2025). [PMID: 39713852](https://pubmed.ncbi.nlm.nih.gov/39713852/). *Am J Med Genet A*. [Case Report / Case Series]
Grist J (2024). [PMID: 38965877](https://pubmed.ncbi.nlm.nih.gov/38965877/). *Pediatr Dermatol*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 11:35 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Pregnancy and birth | 2 | Congenital contracture, Decreased fetal movement |
Bones and joints | 1 | Centrally nucleated skeletal muscle fibers |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Eyes | 1 | Retinal hemorrhage |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Age of onset: at birth.