One pair of homozygous variants in LAMA5 (p.Arg2659Trp) and one homozygous variant in LAMA1 were identified in a patient with the presynaptic congenital myasthenic syndrome who has non-classified facial tics or tics (Maselli et al., 2018). The gene discussed is LAMA1; the disease is congenital myasthenic syndrome.