We report a patient with congenital myopathy presenting in early infancy.
Muscle biopsy showed fiber-type disproportion with no inclusions.
Exome sequencing revealed a novel synonymous de novo mutation in MYH7 gene.
RNA studies confirmed the mutation to cause skipping of exon 38.
Genotypic and phenotypic spectra of MYH7-related myopathies are broadened.