Symptoma

Benign Adult Familial Myoclonic Epilepsy

FAME

We present a new family with suggestion of linkage to chromosome 2p11.1-2q12.2 (lod score value, 1.55). [ncbi.nlm.nih.gov]

Usually, myoclonic tremor is the presenting symptom, characterized by tremulous finger movements and myoclonic jerks of the limbs increased by action and posture. In a minority of patients, seizures are the presenting symptom. [uniprot.org]

Jerk-locked back-averaging confirms CT; typical giants SEPs and enhanced C-reflex are presents. Molecular-genetic analysis excluded a linkage to chromosome 8q24 and suggests a linkage to chromosome 2p11.1-q12.2. [moh-it.pure.elsevier.com]

  • Dyslexia

    Learning disability: An abnormal condition affecting children of normal or above-average intelligence, characterized by difficulty in learning fundamentals such as reading (dyslexia), writing (dysgraphia), and math (dyscalculia). [childneurologyfoundation.org]

hepatotoxic medications, respiratory depressants, corticosteroids, amiodarone, acyclovir, bismuth, thallium, L-dopa Associated with systemic illness: Dialysis, renal failure, liver failure, pulmonary disease, carbon dioxide intoxication Workup Myoclonus [endoflifecare.tripod.com]

  • Photoparoxysmal Response

    Photoparoxysmal responses (PPR) were noted in 18 (95%) patients with BAFME but 1 (10%) with EGTCS. CONCLUSION: Faster frequency of GSW, compared with that in EGTCS, accompanied by PPR may be characteristic EEG features of BAFME. [ncbi.nlm.nih.gov]

    Response 3 progressive myoclonus epilepsy Spastic Paraplegia with Myoclonic Epilepsy [rgd.mcw.edu]

    Generalized paroxysmal abnormalities were found in all cases, whereas a photoparoxysmal response was observed in two. JLA showed a positive–negative spike or a series of wavelets related to myoclonus on the contralateral sensorimotor regions. [onlinelibrary.wiley.com]

    Generalized epileptiform discharges were recorded in 25% of cases, and a photoparoxysmal response in 31%. [cris.unibo.it]

    Of these nine, seven had multifocal discharges corresponding with contralateral jerky movement and photosensitivity (photoparoxysmal response, photomyoclonic response). SEPs and long latency reflex (C-reflex) were studied in 11 patients (Table 1). [nature.com]

  • Generalized Polyspikes

    Generalized polyspike wave discharges (in 1 of 36 [3%]) or irregular, generalized, frontally maximal sharp wave discharges (in 1 of 36 [3%]) were seen. [jamanetwork.com]

    The EEG shows generalized polyspike and spike-and-wave discharges, frequently precipitated by photic stimulation. [clinicalgate.com]

    Bursts of generalized polyspikes and waves (multiple spike-and-slow-wave complexes) may also be seen, [30] especially during sleep and in syndromes with older age of onset. [reference.medscape.com]

    Note the generalized polyspikes induced by eye closure. Fig. 12. Landau-Kleffner syndrome (LKS). Four-year-old girl with LKS. Language regression occurred at 3 yr of age. [euroformhealthcare.biz]

  • Spike-and-Slow-Waves

    […] and slow-wave complexes at 3 Hz associated with myoclonus.  Interictal EEG is variable and ranges from normal to background slowing and generalized spike and slow-wave activity  Variable course and outcome.  Many resistant to drug therapy  Less favorable [slideshare.net]

    Bursts of generalized polyspikes and waves (multiple spike-and-slow-wave complexes) may also be seen, [30] especially during sleep and in syndromes with older age of onset. [reference.medscape.com]

    Ten- to 16-Hz rapid spikes with slow waves occur with myoclonic seizures, photosensitivity is common, and abnormalities may occur in sleep. 3.1.7. Epilepsy With GTCS on Awakening GTCS occur exclusively or predominantly shortly after awakening. [euroformhealthcare.biz]

  • Polyspike-and-Slow-Waves

    […] and slow-wave complexes.  Variable course and outcome.  One half experience encephalopathic effects and suffer from persistent GTCS, myoclonic-atonic status and dementia. 20. [slideshare.net]

    Electrophysiological findings reveal giant SSEP and EEG shows general spikes or polyspikes and slow wave complexes. The gene is mapped at chromosome 8q24. Absence of neurological deterioration distinguishes FAME from Lafora body disease ( EPM2A ). [neuroweb.us]

  • 3-4 Hz Spikes

    Childhood absence epilepsy with tonic-clonic seizures and electroencephalogram 3-4-Hz spike and multispike-slow wave complexes: linkage to chromosome 8q24. Am J Hum Genet. 1998 Oct. 63(4):1117-29. [Medline]. [reference.medscape.com]

    Her EEG showed 3–4 Hz spike and wave discharges. She had a daughter with childhood absence epilepsy, and two sisters and a cousin with seizures (fig 2 , family 1). [jnnp.bmj.com]

The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]

Each chapter includes diagnostic and treatment algorithms to guide practitioners in clinical decision making. [books.google.com]

Valproates were markedly effective for its treatment. I proposed the new term "benign adult familial myoclonic epilepsy (BAFME)" for this disease. [ci.nii.ac.jp]

It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]

Prognosis BAFME has no effect on life expectancy. With successful treatment, patients are often relieved from their symptoms. The documents contained in this web site are presented for information purposes only. [orpha.net]

 An epileptic disorder characterized by a cluster of signs and symptoms customarily occurring together; these include type of seizure, etiology, anatomy, precipitating factors, age of onset, severity, chronicity, diurnal and circadian cycling and prognosis [slideshare.net]

The most important indicator of prognosis is tumor stage. [mycancergenome.org]

Although there are advances in therapy and research in Doose Syndrome, prognosis and outcome tends to be unpredictable and varied. Prognosis is more likely to be unfavourable in children who have generalised tonic clonic seizures from the outset. [epilepsyqueensland.com.au]

The prognosis is worse if the spasms are either symptomatic or cryptogenic. [euroformhealthcare.biz]

We conclude that the etiology of BAFME remains to be solved, and further genetic studies, which may require analysis in non-coding regions of a gene, introns or intergenic spacer regions, are necessary to reveal its unknown mutations. [ncbi.nlm.nih.gov]

The world’s foremost experts describe the phenotypes and subtypes of myoclonic epilepsies and the underlying molecular defects and summarize cutting-edge advances in molecular genetics that shed new light on the etiologies of these syndromes. [books.google.com]

Etiology BAFME has been mapped to at least 4 different chromosomal loci. [orpha.net]

[…] genes were identified in a small percentage (5% or less) of healthy controls; however no control individuals were found to have TTTCA expansions in SAMD12, TNRC6A, or RAPGEF2, suggesting that TTTCA repeat expansions may play a primary role in disease etiology [epilepsygenetics.net]

Summary Epidemiology Worldwide prevalence is unknown but an estimated prevalence of 1/35,000 was reported in Japan. [orpha.net]

From basic mechanisms and epidemiology, through diagnosis and therapy, to quality of life issues, the new edition of this established reference covers every aspect of childhood epilepsy and will continue to be the definitive core text for all professionals [books.google.de]

We aimed to delineate detailed epidemiological backgrounds in patients with Japanese BAFME and to establish diagnostic criteria based on clinical and electrophysiological findings. [read.qxmd.com]

Epidemiology [ edit ] PME accounts for less than 1% of epilepsy cases at specialist centres. [ citation needed ] The incidence and prevalence of PME is unknown, but there are considerable geography and ethnic variations amongst the specific genetic disorders [en.wikipedia.org]

Epidemiology, Classification, and Etiology Epidemiologic studies consistently document an increased incidence of seizure disorders in older adults and suggest that aging is a definite risk factor. 3 In the United States, the annual incidence of seizures [aafp.org]

This book discusses the pathophysiology of tremor including membrane mechanisms and rodent models, the advances in genetics and the musculoskeletal models pertinent to body oscillations. [books.google.com]

Thus far, the pathophysiology of this condition remains speculative. [onlinelibrary.wiley.com]

This clinical course could indicate that the depressive state derived from epileptic pathophysiology. [waseda.pure.elsevier.com]

Hyperkinetic Movement Disorders the latest edition to the Contemporary Neurology Series, will cover the signs, the pathophysiology, the genetics (where applicable), and the treatment options of each form of hyperkinetic movement disorder. [books.google.it]

This systematic review discusses the clinical spectrum, treatment, pathophysiology, and genetic findings. [academiccommons.columbia.edu]

Genetic causes are not directly preventable. Causes are more often preventable as the infant or young child grows older. [childneurologyfoundation.org]

AEDs are used to prevent recurrent seizures. [stlukes-stl.com]

Keep stairs blocked off as much as possible to prevent children from falling down. Children with controlled epilepsy may still ride a bicycle, however they should wear protective gear at all times and never bike alone. [know-the-ada.com]

Successful treatment with adrenocorticotropic hormone (ACTH) or vigabatrin can prevent further developmental regression. Many children develop other seizure types and go on to have Lennox-Gastaut syndrome (see information below). Dravet syndrome. [epilepsyfoundationmn.org]

This prevents rebound seizures that commonly occur with abrupt propofol discontinuation. [enotes.tripod.com]