We describe two brothers with clinical and histological findings of ty
pe 2 spinal muscular atrophy (SMA) associated with small head circumfe
rence (<2%) and normal cognitive development. No survival motor neuron
(SMN) or neuronal apoptosis-inhibitory protein (NAIP) deletions were
detected in these sibs, and they were discordant for the haplotypes de
termined by DNA markers flanking the 5q13 SMA locus, These findings su
pport the presence of a distinct anterior horn disease unrelated to 5q
13. This entity may have either autosomal recessive or X-linked inheri
tance. (C) 1998 Wiley-Liss, Inc.