raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1942

Epilepsy with myoclonic-atonic seizures

Synonyms: Doose syndrome · EMAS · EMAtS · Epilepsy with myoclonic-astatic seizures · MAE · Myoclonic atonic epilepsy · Myoclonic-astatic epilepsy in early childhood

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Childhood
Status
active

A rare, childhood-onset epilepsy syndrome characterized by multiple seizure types including myoclonic-atonic (MA) seizures that occur usually in previously healthy children.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enEpilepsy with myoclonic-atonic seizuresDoose syndrome · EMAS · EMAtS · Epilepsy with myoclonic-astatic seizures · MAE · Myoclonic atonic epilepsy · Myoclonic-astatic epilepsy in early childhood
frEpilepsie avec crises myoclono-atoniquesEMAS · EMAtS · MAE · Syndrome de Doose · Epilepsie myoclono-astatique du jeune enfant
deEpilepsie mit myoklonisch-astatischen KrisenDoose-Syndrom · EMAS · EMAtS · Epilepsie mit myoklonisch-astatischen Krämpfen · Epilepsie mit myoklonisch-atonischen Anfällen · MAE · Myoklonisch-astatische Epilepsie des frühen Kindesalters · Myoklonisch-atone Epilepsie
esEpilepsia con crisis mioclónicas-atónicasEMAS · EMAtS · Epilepsia con crisis mioclónicas astáticas · Epilepsia mioclónica astática infantil temprana · Epilepsia mioclónica atónica · MAE · Síndrome de Doose
itEpilessia mioclono-astaticaEMAS · Epilessia atonica mioclonica · Epilessia con crisi mioclono-astatiche · Epilessia con crisi mioclono-atoniche · Epilessia mioclonica-astatica della prima infanzia · MAE · Sindrome di Doose
nlEpilepsie met myoclonisch-atonische insultenEMAS · EMAtS · Epilepsie met myoclonisch-astatische insulten · MAE · Myoclonisch-astatische epilepsie in de vroege kindertijd · Myoclonische atonische epilepsie · Syndroom van Doose
ptEpilepsia com crises mioclonico-atónicasEpilepsia com crises mioclonico-estáticas · Epilepsia mioclónica atónica · Epilepsia mioclónico-estática na primeira infância · MAE · Síndrome Doose · EMAS · EMAtS
plPadaczka miokloniczno-astatycznaEMAS · MAE · Miokloniczna padaczka atoniczna · Padaczka z napadami miokloniczno-astatycznymi · Padaczka z napadami miokloniczno-astatycznymi we wczesnym dzieciństwie · Padaczka z napadami miokloniczno-atonicznymi · Zespół Doose
csMyoklonickoastatická epilepsieDooseho syndrom · EMAS · MAE · Myoklonickoatonická epilepsie · Epilepsie s myoklonickoastatickými křečemi · Epilepsie s myoklonickoatonickými křečemi · Myoklonickoastatická epilepsie v časném dětství
ukМіоклонічно-астатична епілепсіяСиндром Дузе · EMAS · Епілепсія з міоклонічно-астатичними нападами · Епілепсія з міоклонічно-атонічними нападами · МАЕ · Міоклонічна атонічна епілепсія · Міоклонічно-астатична епілепсія в ранньому дитинстві
zh肌阵挛性无定向癫痫幼儿早期出现的肌阵挛-站立不能发作
trMiyoklonik-astastik epilepsiMAE · EMAS · Doose sendromu · Miyoklonik atonik epilepsi · Miyoklonik-atonik nöbetler ile seyreden epilepsi · Miyoklonik-astatik nöbetler ile seyreden epilepsi · Erken çocukluk döneminde miyoklonik-astatik epilepsi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615369BTNTvalidated
OMIM616421BTNTvalidated
OMIM618587BTNTvalidated
ICD-10G40.4NTBTattributedvalidated
ICD-118A61.22Especificvalidated
MONDO0016025Evalidated
MONDO14633Evalidated
MONDO16025Evalidated
UMLSC0393702Evalidated
GARD2169Evalidated
MedDRA10081179Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

7 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC6A1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:11042ENSG000001571031371653p25.3solute carrier family 6 member 125865495[PMID]
AP2M1Disease-causing germline mutation(s) inAssessedHGNC:564ENSG000001612036010243q27.1adaptor related protein complex 2 subunit mu 131104773[PMID]
CHD2Disease-causing germline mutation(s) inAssessedHGNC:1917ENSG0000017357560211915q26.1chromodomain helicase DNA binding protein 223708187[PMID]
NEXMIFDisease-causing germline mutation(s) inAssessedHGNC:29433ENSG00000050030300524Xq13.3neurite extension and migration factor32469098[PMID]
SCN1ADisease-causing germline mutation(s) inAssessedHGNC:10585ENSG000001442851823892q24.3sodium voltage-gated channel alpha subunit 121396429[PMID]
SLC2A1Disease-causing germline mutation(s) inAssessedHGNC:11005ENSG000001173941381401p34.2solute carrier family 2 member 121555602[PMID]_31170314[PMID]
SYNGAP1Disease-causing germline mutation(s) inAssessedHGNC:11497ENSG000001972836033846p21.32synaptic Ras GTPase activating protein 132469098[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

44 annotations · validated 2021-04-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011197EEG with focal spike waves
HP:0011170Myoclonic atonic seizures
Frequent (79-30%)
HP:0010819Atonic seizure
HP:0007018Attention deficit hyperactivity disorder
HP:0025190Bilateral tonic-clonic seizure with generalized onset
HP:0002392EEG with polyspike wave complexes
HP:0002123Generalized myoclonic seizure
HP:0002121Generalized non-motor (absence) seizure
HP:0000752Hyperactivity
HP:0001249Intellectual disability
HP:0002332Lack of peer relationships
Occasional (29-5%)
HP:0100851Abnormal emotion/affect behavior
HP:0001251Ataxia
HP:0000729Autistic behavior
HP:0410263Brain imaging abnormality
HP:0010845EEG with generalized slow activity
HP:0001326EEG with irregular generalized spike and wave complexes
HP:0011182Interictal epileptiform activity
HP:0012760Reduced social responsiveness
HP:0011171Simple febrile seizure
HP:0001337Tremor
Very rare (<4-1%)
HP:0001999Abnormal facial shape
HP:0007256Abnormal pyramidal sign
HP:0000463Anteverted nares
HP:0000289Broad philtrum
HP:0000750Delayed speech and language development
HP:0200134Epileptic encephalopathy
HP:0007359Focal-onset seizure
HP:0002292Frontal balding
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0000343Long philtrum
HP:0000252Microcephaly
HP:0000568Microphthalmia
HP:0100678Premature skin wrinkling
HP:0011220Prominent forehead
HP:0001159Syndactyly
HP:0000179Thick lower lip vermilion
HP:0009928Thick nasal alae
HP:0000219Thin upper lip vermilion
HP:0002317Unsteady gait
HP:0000154Wide mouth
HP:0000431Wide nasal bridge
Excluded (0%)
HP:0011097Epileptic spasm

Run the differential on the 2 obligate / very frequent terms

Annotation source: 29729532[PMID]_32469098[PMID]

7

Sources for this card