generalized epilepsy with febrile seizures (GEFS)
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Epidemiology
rare
Genetics
- autosomal dominant, with incomplete penetrance & large intrafamilial variability
- mutations in SCN1B gene associated with type 1
- mutations in SCN1A gene associated with type 2
- mutations in GABRG2 gene associated with type 3
- defects in GABRD gene associated with type 5
- defects in SCN2A gene associated with plus syndrone (GEFS+)
Clinical manifestations
- febrile seizures before age 6, progressing to generalized epilepsy
- GEFS+ combines febrile seizures, generalized seizures often precipitated by fever at age 6 years or more, & partial seizures, with a variable degree of severity