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Journal of Child Neurology
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Lafora Progressive Myoclonus Epilepsy: Disease Course Homogeneity in a Genetic Isolate

Julie Turnbull, BSc

Program in Genetics and Genome Biology

Santosh Kumar, MD

Department of Neurology, The Royal Hospital, Muscat, Oman

Zhi-Ping Ren, PhD

Program in Genetics and Genome Biology

Shanmugakonar Muralitharan, MSc

Department of Clinical Biochemistry, Sultan Qaboos University Hospital, Muscat, Oman

Taline Naranian

Program in Genetics and Genome Biology

Cameron A. Ackerley, PhD

Department of Pathology and Laboratory Medicine

Berge A. Minassian, MD

Division of Neurology, The Hospital for Sick Children, Toronto, Canada, bminass{at}sickkids.ca

Lafora epilepsy is characterized by starch formation in brain and skin and is diagnosed by skin biopsy or mutation detection. It has variable ages of onset (6-19 years) and death (18-32 years) even with the same mutation, likely due to extramutational factors. The authors identified 14 Lafora epilepsy patients in the genetic isolate of tribal Oman. The authors show that in this homogeneous environment and gene pool, the same mutation, EPM2B-c.468-469delAG, results in highly uniform ages of onset (14 years) and death (21 years). Biopsy, on the other hand, was not homogeneous (positive in 4/5 patients) and is, therefore, less sensitive than mutation testing.

Key Words: Lafora disease • myoclonic epilepsies • founder effect

Journal of Child Neurology, Vol. 23, No. 2, 240-242 (2008)
DOI: 10.1177/0883073807309245


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