The triple A syndrome is caused by autosomal recessively inherited mutations in the AAAS gene and is characterized by achalasia, alacrima and adrenal insufficiency as well as progressive neurological impairment. We report on a 14-year-old girl with slowly progressive axonal motor neuropathy with conspicuous muscle wasting of hypothenars and calves as well as alacrima. The mutation analysis of the AAAS gene revealed a compound heterozygous mutation: a c.251G4A mutation in exon 2 that had been reported previously, and a novel c.1288C4T mutation in exon 14. At the transcriptional level, the c.251G4A transition results in an aberrant splicing and decay of this RNA strand so that the particular clinical picture results from the novel c.1288C4T, (p.Leu430Phe, L430F) mutation in a hemizygous form.With transfection experiments, we demonstrate that GFP -ALADIN L430F correctly localizes to nuclear pore complexes. Therefore, we conclude that this point mutation impairs ALADIN function at the nuclear pore.