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Nemaline myopathy (NM), first reported by Shy et al1 in 1963, is characterized by the presence of nemaline rods in myofibers and in the nucleus in severe cases. NM is a clinically rare, heterogeneous congenital muscle disorder, displaying dominant or recessive autosomal forms, and in rare cases, sporadic as well. Its chief manifestations are proximal muscle weakness and atrophy followed by further progress to generalized weakness and weakness of facial muscles, tongue muscles and throat muscles. Below is the case of an adult onset nemaline myopathy.