Myasthenic Syndrome, Congenital, 5, also known as endplate acetylcholinesterase deficiency, is related to congenital ptosis and myasthenia gravis, and has symptoms including ophthalmoparesis An important gene associated with Myasthenic Syndrome, Congenital, 5 is COLQ (Collagen Like Tail Subunit Of Asymmetric Acetylcholinesterase), and among its related pathways/superpathways are Transmission across Chemical Synapses and ECM proteoglycans. Affiliated tissues include eye and skeletal muscle, and related phenotypes are generalized muscle weakness and proximal muscle weakness