Presentation
In this paper we present a case, who presented with treatment-resistant seizures and progressive mental failure and was finally diagnosed as Lafora Body disease. 2. [pubs.sciepub.com]
Unsteadiness, muscle rigidity, and mental deterioration are often also present. Who gets it? This is a group of rare disorders. [epilepsy.com]
The present TA study detected significantly different thalamic texture features in EPM1 patients compared to healthy controls. [journals.plos.org]
The atypical cases give us the insight to look beyond the patients' presenting complaint. [cureus.com]
Through our online ordering and statement reporting system, Nucleus, the customer has an access to details of the analysis, including patient specific sequencing metrics, a gene level coverage plot and a list of regions with inadequate coverage if present [blueprintgenetics.com]
Entire Body System
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Wheelchair Bound
Neurological examination is initially normal, but patients later develop intention tremor, dysarthria, ataxia and poor coordination, thus subsequently one-third of EPM1 patients become severely incapacitated and wheelchair bound. [journals.plos.org]
Gastrointestinal
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Muscle Rigidity
Unsteadiness, muscle rigidity, and mental deterioration are often also present. Who gets it? This is a group of rare disorders. [epilepsy.com]
Liver, Gall & Pancreas
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Asterixis
Lesions confined to the thalamus have been associated with asterixis [46], and hemorrhages restricted to the region lateralis of the thalamus lead to a cheiro-oral syndrome [47] or choreiform and dystonic movements associated with myorhythmia [48]. [journals.plos.org]
Neurologic
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Dysarthria
Dysarthria and ataxia developed in 100% of our patients. Vitamin D deficiency and recurrent viral infections were noticed in 100% of our cohort. Cognitive, learning, and motor dysfunctions were involved in 100% of our patients. [ncbi.nlm.nih.gov]
[…] myoclonic AD 5 3 KCTD7 * Epilepsy, progressive myoclonic AR 18 20 MFSD8 Ceroid lipofuscinosis, neuronal AR 27 47 NEU1 Sialidosis AR 22 62 NHLRC1 Epilepsy, progressive myoclonic AR 14 70 POLG POLG-related ataxia neuropathy spectrum disorders, Sensory ataxia, dysarthria [blueprintgenetics.com]
Their speech can become slurred (called ‘dysarthria’) in the teenage years. [epilepsy.org.uk]
On examination, it was found that the patient had bilateral action tremors along with spasticity, brisk reflexes in the upper and lower limbs, and dysarthria. [cureus.com]
The patienttruncal ataxia, tremor in both hands that couldd voluntarily, dysarthria, and bilateral dysmetriaose test).al tests, including a haemogram, renal, liver, proles, copper, ceruloplasmin, creatine kinase,al antibodies, and baseline and post-exercise [docslide.net]
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Poor Coordination
Neurological examination is initially normal, but patients later develop intention tremor, dysarthria, ataxia and poor coordination, thus subsequently one-third of EPM1 patients become severely incapacitated and wheelchair bound. [journals.plos.org]
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Mild Cognitive Impairment
Alternatively, the clinical symptoms can be so mild that there is a delay in the diagnosis and patients may manage well. [6] Mild cognitive impairment and slow decline in intellectual level over time have been reported [6] – [9]. [journals.plos.org]
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Action Tremor
On examination, it was found that the patient had bilateral action tremors along with spasticity, brisk reflexes in the upper and lower limbs, and dysarthria. [cureus.com]
Workup
EEG
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Focal Spikes
EEG: Generalized almost symmetrical high-voltage polyspikes-and-wave along with frequent bilateral independent posterior dominant (T6, O2//T5, O1) focal spikes on a slow & disorganized background which aggravated on photic stimulation Fig ure 2. [pubs.sciepub.com]
Treatment
Therefore new treatment modalities are needed. Experimental treatments of ULD patients with dopamine agonists have relieved myoclonic symptoms. [clinicaltrials.gov]
Each chapter includes diagnostic and treatment algorithms to guide practitioners in clinical decision making. [books.google.com]
In this paper we present a case, who presented with treatment-resistant seizures and progressive mental failure and was finally diagnosed as Lafora Body disease. 2. [pubs.sciepub.com]
The medical treatment of progressive myoclonic epilepsy is often successful only for a few months or years. These patients may require more than one seizure medicine. [epilepsy.com]
Prognosis
LD has an unfavorable prognosis, and patients usually die within 10 years of the clinical findings at onset. 4. [pubs.sciepub.com]
A clinical study comprising 124 cases with special reference to clinical presentation and prognosis. [hastane.hacettepe.edu.tr]
Well, I remember my husband and I in the summer of 2007 when we learned about Adela’s diagnostic, and we left the neurologist office with a printing from the Internet that was briefly defining Lafora disease and the prognosis of the condition—no plan, [globalgenes.org]
The prognosis of a PME depends on the specific disease. Lafora disease, the neuronal ceroid lipofuscinoses, and the neuronopathic form of Gaucher disease have an invariably fatal course. [thieme-connect.com]
Etiology
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]
Neurology A heterogeneous group of disorders that share clinical features, and thus generically termed PME syndrome Clinical Prominent sensitivity of myoclonus to all stimuli–eg, passive movement of a limb might evoke a generalized convulsions Etiology [medical-dictionary.thefreedictionary.com]
Over the last two decades, considerable developments have occurred in the field of PMEs and they have been recognized as a group of syndromes with specific etiologies. 2 Macular cherry red spot is an important diagnostic marker in children with myoclonic [neurologyindia.com]
Epidemiology
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.com]
Epidemiology PME accounts for less than 1% of epilepsy cases at specialist centres. The incidence and prevalence of PME is unknown, but there are considerable geography and ethnic variations amongst the specific genetic disorders. [wikidoc.org]
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]
Lafora disease: epidemiology,ysiology and management. [docslide.net]
Pathophysiology
His main research interest is in movement disorders, specifically the merging of clinical, electrophysiological and imaging methods to provide insights into the pathophysiology of conditions like dystonia and Parkinson's disease. [books.google.com]
The nosology and pathophysiology of myoclonus. Mov Disord 1982:196–248. Google Scholar 2. Fahn S, Marsden CD, Van Woert MH. Definition and classification of myoclonus. Adv Neurol 1986; 43:1–5. PubMed Google Scholar 3. Nirenberg MJ, Frucht SJ. [link.springer.com]
Gaucher disease: the metabolic defect, pathophysiology, phenotypes and natural history. Pediatr Endocrinol Rev 2014; 12 (Suppl. 01) 72-81 37 Park JK, Orvisky E, Tayebi N, et al. [thieme-connect.com]
Our results indicate that the changes in both the thalamus and putamen may play an important role in the pathophysiology of EPM1. Further studies in larger patient materials will show whether 3D TA could be a relevant tool for clinical applications. [journals.plos.org]
Prevention
To prevent worsening of myoclonus carbamazepine, phenytoin, gabapentin, pregabalin and lamotrigine should be avoided. [pubs.sciepub.com]
Screening and prevention of colorectal cancer Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]