Myoclonic Epilepsy, Juvenile, Susceptibility To, 4
For a phenotypic description and a discussion of genetic heterogeneity of juvenile myoclonic epilepsy (JME), see 254770. JME is a form of idiopathic generalized epilepsy (IGE; 600669).
Clinical FeaturesKapoor et al. (2007) reported a family from southern India in which 8 individuals had juvenile myoclonic epilepsy inherited in an autosomal dominant pattern. The proband was a 32-year-old woman who developed morning myoclonic jerks at age 14 years and generalized tonic-clonic seizures at age 20. EEG recordings showed polyspike and wave discharges characteristic of a generalized epilepsy. Other affected members had a similar history. None had absence or febrile seizures. Response to medication was good.
MappingBy genomewide linkage analysis of an Indian family with juvenile myoclonic seizures, Kapoor et al. (2007) identified a candidate locus, referred to here as EJM4, on chromosome 5q12-q14 (2-point lod score of 3.33 at D5S459; parametric multipoint lod score of 3.33 at D5S641 and D5S459). Haplotype analysis delineated a 25-Mb region between D5S624 and D5S428.