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2.1
Progressive Myoclonic Epilepsy Type 8
Epilepsy Progressive Myoclonic 8

Presentation

In addition, in this case, we reported a special case of LINCL as one form of the most fatal PME, to present some special EEG characteristics in details. [journals.lww.com]

This disease presents no sex-related differences and it is predominantly found in southern European countries. [elsevier.es]

The gene, denoted EPM2, presents alternative splicing in the 5' and 3' end regions. Mutational analysis revealed that EPM2 patients are homozygous for loss-of-function mutations in EPM2. [moh-it.pure.elsevier.com]

Gastrointestinal bleeding due to portal hypertension might be the presenting symptom in adolescents or young adults. [orpha.net]

Entire Body System

  • Sepsis

    […] etc - Integrative Oncology: Anticancer therapies; tumour regression, tumour suppression, antibodies, etc and Supportive cancer therapies; pain relief, nausea, etc - Vascular/Immunological Reaction: Acute coronary syndrome, atherothrombotic disease, sepsis [ots.at]

    […] dermatitis) / 알코올중독(Alcoholism) / 여드름(Acne) / 우울증(Depression) / 위궤양(Gastric ulcer) 조루(Premature ejaculation) / 중이염(Otitis media) / 중풍(paralysis) / 천식(Asthma) / 축농증(empyema) 충치(Dental caries) / 치매(Dementia) / 치ㆊ(hemorrhoids) / 코피(nosebleeding) / 패혈증(Sepsis [dic.impact.pe.kr]

  • Malaise

    Attacks usually are preceded by a minor illness and consist of a preicteric phase of 2–4 weeks (characterized by malaise, anorexia, and pruritus) and an icteric phase that may last from 1–18 months. [intechopen.com]

Gastrointestinal

  • Nausea

    Occipital seizures are often mistaken for migraine headaches because they cause similar symptoms, including visual disturbances, partial blindness, nausea, vomiting, and a headache. [nyulangone.org]

    Integrative Neuroscience: Alzheimer's disease, multiple sclerosis, neuropathic pain, epilepsy, depression, etc - Integrative Oncology: Anticancer therapies; tumour regression, tumour suppression, antibodies, etc and Supportive cancer therapies; pain relief, nausea [ots.at]

Musculoskeletal

  • Arthritis

    (Hepatitis) / 간질(Epilepsy) / 갑상선암(Throid cancer) / 결막염(Conjunctivitis) / 결석(Calculus) / 결핵(Tuberculosis) / 골절(Fracture) 고혈압(Hypertension) / 고지혈증(Hyperlipidemia) / 골다공증(Osteoporosis) / 뇌경색(Cerebral infarction) 과민성대장증후군(Irritable bowel syndrome) / 관절염(Arthritis [dic.impact.pe.kr]

    Oncology: Anticancer therapies; tumour regression, tumour suppression, antibodies, etc and Supportive cancer therapies; pain relief, nausea, etc - Vascular/Immunological Reaction: Acute coronary syndrome, atherothrombotic disease, sepsis, rheumatoid arthritis [ots.at]

Psychiatrical

  • Psychomotor Retardation

    Anticonvulsant helps little in controlling the seizures and halting the deterioration of psychomotor development. Severe psychomotor retardation is the rule. With time, the disorder may evolve into West syndrome or partial epilepsy. [europeana.eu]

    Progressive external ophthalmoplegia with mitochondrial deletions type 5 RRM2B Progressive myoclonus epilepsy type 1A PRICKLE1 Progressive myoclonus epilepsy type 3 KCTD7 Progressive myoclonus epilepsy type 6 GOSR2 Progressive myoclonus epilepsy type 8 CERS1 Psychomotor [centogene.com]

Urogenital

  • Incontinence

    He presented bladder and bowel incontinence and tetraparesis, and became confined to bed and armchair. He died of aspiration pneumonia 8 years after disease onset. [elsevier.es]

    Two months later he had one attack of generalized tonic clonic seizure with tongue biting and incontinence of urine which lasted for 2-3 minutes followed by post ictal confusion and tiredness without any aura. [pubs.sciepub.com]

Neurologic

  • Irritability

    Conclusion: Epileptic myoclonus is a manifestation of cortical irritability. The precise etiology is important when determining the best course of treatment. Response to treatment is variable and usually depends on the epileptic syndrome. [tandfonline.com]

    History The following may be noted in the history of a patient with progressive familial intrahepatic cholestasis (PFIC) Jaundice Scleral icterus Cutaneous jaundice Dark urine Physical See the list below: Pruritus Scratching Cutaneous mutilation Irritability [emedicine.medscape.com]

    […] medicine) / 간경화(liver cirrhosis) / 간염(Hepatitis) / 간질(Epilepsy) / 갑상선암(Throid cancer) / 결막염(Conjunctivitis) / 결석(Calculus) / 결핵(Tuberculosis) / 골절(Fracture) 고혈압(Hypertension) / 고지혈증(Hyperlipidemia) / 골다공증(Osteoporosis) / 뇌경색(Cerebral infarction) 과민성대장증후군(Irritable [dic.impact.pe.kr]

    However, affected infants often are irritable and sleep poorly with onset of cholestasis. Scratching is usually evident first as digging at the ears and eyes, which are the first areas to show evidence of excoriation. [intechopen.com]

  • Atonic Seizures

    He or she may also have atonic seizures, in which the body’s muscles suddenly lose strength, causing the eyelids to droop and the head to nod or the child to fall to the ground. [nyulangone.org]

  • Alteration of Consciousness

    […] with complex partial seizures) 간혹 자동증을 동반하며 의식의 변화가 있는 발작(Attacks with alteration of consciousness, often with automatisms) 속발성 전신발작으로 진행하는 복합성 부분발작(Complex partial seizures developing into secondarily generalized seizures) G40.3 전신성 특발성 간질 및 간질성 증후군 [dic.impact.pe.kr]

Workup

DIAGNOSTIC WORKUP In the initial stage of Ohtahara syndrome, interictal EEG shows a pattern of suppression-burst with high-voltage paroxysmal discharges separated by prolonged periods of nearly flat tracing that last for up to 18 seconds. [europeana.eu]

Treatment

Treatment-emergent adverse events affecting >10% of patients in the pivotal studies were dizziness, headache and somnolence. [ots.at]

The precise etiology is important when determining the best course of treatment. Response to treatment is variable and usually depends on the epileptic syndrome. [tandfonline.com]

The medical treatment of progressive myoclonic epilepsy is limited to supportive and symptomatic treatment. The treatment is often successful only for a few months or years. There is no current cure for PME. [epilepsy.com]

Therefore new treatment modalities are needed. Experimental treatments of ULD patients with dopamine agonists have relieved myoclonic symptoms. [clinicaltrials.gov]

Prognosis

However, the female patient has a poor prognosis. In the following visit, she has serious sleep problems, such as sleep fragment and insomnia due to her sensitivity to the light and voice. [journals.lww.com]

What is the prognosis for patients with Lafora disease? At this time, the prognosis for persons affected by Lafora disease is, unfortunately, poor. [epilepsy.com]

PROGNOSIS AND THREATMENT Half of the reported children having Ohtahara syndrome die in infancy. Anticonvulsant helps little in controlling the seizures and halting the deterioration of psychomotor development. [europeana.eu]

Each of these progressive myoclonic epilepsy syndromes produces a collection of signs and symptoms as well as a characteristic progression and prognosis. [verywellhealth.com]

Etiology

The precise etiology is important when determining the best course of treatment. Response to treatment is variable and usually depends on the epileptic syndrome. [tandfonline.com]

Recently, PMEs have been recognized as a group of syndromes with specific etiologies. However, few studies demonstrated the EEG changes in PME in details. [journals.lww.com]

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

Epidemiology

Summary Epidemiology Estimated prevalence at birth of PFIC types 1-3 varies between 1/50,000 and 1/100,000. PFIC3 represents one third of PFIC cases. [orpha.net]

Epidemiology of the mitochondrial DNA 8344A > G mutation for the myoclonus epilepsy and ragged red fibres (MERRF) syndrome. J Neurol Neurosurg Psychiatry 2003; 74: 1158–1159. PubMed CrossRef Google Scholar 9. DeVivo DC, DiMauro S. [link.springer.com]

Epidemiology[edit] PME accounts for less than 1% of epilepsy cases at specialist centres. [en.wikipedia.org]

Epidemiology of Severe Myoclonic Epilepsy of Infancy. Epilepsia. August 1990, 31 (4): 397–400. PMID 1695145. doi:10.1111/j.1528-1157.1990.tb05494.x. ^ Yakoub, M; Dulac, O; Jambaqué, I; Chiron, C; Plouin, P. [zh.wikipedia.org]

Epidemiology PMEs account for 46 Series from different countries reveal considerable geographic and ethnic variability in the occurrence of specific types of PMEs. 1, 36, 40, 46 Details of known geographic clusters of specific PMEs are given below. [neupsykey.com]

Pathophysiology

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]

Etiology and pathophysiology 3.1. PFIC 1 (ATP8B1 "FIC-1" deficiency) PFIC1 is an autosomal recessive disease caused by mutations in ATP8B1 (formerly named FIC1) gene on chromosome 18, locus q21-22. [intechopen.com]

Prevention

N-acetylcysteine (NAC) is a sulfhydryl antioxidant that increases cellular glutathione and the activity levels of several antioxidant enzymes and has additional actions that contribute to its demonstrated efficacy in preventing or decreasing damage in [neurology.org]

Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎ [books.google.es]

[…] protein C sv Här i parlamentet finns en tvärpolitisk grupp för Östersjön och Europa som träffas en gång i månaden i Strasbourg och som jag har äran att vara ordförande i. en Replacement of protein C in protein C deficient patients should control or prevent [sv.glosbe.com]

Management and treatment Ursodeoxycholic acid therapy (UDCA) should be initiated in all patients to prevent liver damage. Beneficial effects of UDCA are usually observed in patients who harbored at least one missense mutation. [orpha.net]

The protein may be involved in the control of glycogen metabolism, particularly in monitoring for and preventing the formation of poorly branched glycogen molecules. [antibodies-online.com]

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