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. 2024 Mar 25;16(3):e56866. doi: 10.7759/cureus.56866

Table 3. Central and peripheral etiologies of neonatal hypotonia.

Central hypotonia  
Cerebral Cerebral palsy, Spinal cord injuries, Cerebral dysgenesis, Intracranial hemorrhage, Hypoxic-ischemic encephalopathy, Congenital cytogenetic abnormalities, Chiari malformation
Genetic Prader-Willi syndrome, Angelman syndrome, Nemaline myopathy, Congenital hypothyroidism, Hypoglycemia, Congenital adrenal hyperplasia
Chromosomal Down syndrome, Edwards syndrome (Trisomy 18), Patau syndrome (Trisomy 13)
Inborn errors of metabolism Tay-Sachs, Congenital disorders of glycosylation, Carnitine cycle defects, Fatty acid oxidation defects, Disorders of creatine metabolism, Glycogen storage diseases, Organic acidemias, Peroxisomal disorders, Urea cycle defects 
Infections Bacterial sepsis (urinary tract infection/pyelonephritis, bacteremia, meningitis, pneumonia, cellulitis, gastroenteritis, septic arthritis, osteomyelitis), Botulism, Viral illness (Herpes simplex virus, Enterovirus, Cytomegalovirus, Bronchiolitis, Influenza)
Toxins Environmental (carbon monoxide, methemoglobinemia), Drug exposure (heroin, cocaine, phencyclidine, marijuana)
Peripheral and muscular hypotonia  
Anterior horn cell disorders (motor neurons) Acute infantile spinal muscular atrophy, Traumatic myelopathy, Hypoxic-ischemic myelopathy, Arthrogryposis multiplex congenita
Congenital motor or sensory neuropathies Charcot-Marie-Tooth disease, Familial dysautonomia, Infantile neuroaxonal degeneration, Congenital hypomyelination neuropathy, Dejerine-Sottas disease, Hereditary sensory and autonomic neuropathy 
Neuromuscular junction disorders Transient-acquired neonatal myasthenia, Congenital myasthenia, Magnesium toxicity, Aminoglycoside toxicity
Skeletal muscle Duchenne and Becker muscular dystrophy, Classic form of congenital muscular dystrophy, Congenital form of congenital muscular dystrophy (Walker-Warburg disease, Muscle-eye-brain disease, Fukuyama disease), Early infantile facioscapulohumeral dystrophy, Congenital myotonic dystrophy