early myoclonic encephalopathy; neonatal epilepsy with suppression-burst pattern
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Genetics
- autosomal recessive
- associated with defects in SLC25A22 gene
Clinical manifestations
- very early onset
- erratic & fragmentary myoclonus, massive myoclonus
- partial motor seizures
- late tonic spasms
Diagnostic procedures
- EEG: suppression-burst pattern higher-voltage bursts of slow waves mixed with multifocal spikes alternating with isoelectric suppression phases
Management
- prognosis is poor
- no effective treatment
- children with the condition either die within 1-2 years after birth or survive in a persistent vegetative state