progressive myoclonic epilepsy type 1
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Genetics
- autosomal recessive
- associated with defects in CSTB
Clinical manifestations
- severe, stimulus-sensitive myoclonus & tonic-clonic seizures
- convulsions occur between 6 & 13 years of age
- myoclonus begins 1 to 5 years later
- twitchings occur predominantly in proximal muscles of the extremities & are bilaterally symmetrical, but asynchronous
- twitchings are small initially, but worsen late in the clinical course, may be so violent that the victim is thrown to the floor
- mental deterioration & eventually dementia develop