raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2590

Spinal muscular atrophy-progressive myoclonic epilepsy syndrome

Synonyms: Hereditary myoclonus-progressive distal muscular atrophy syndrome · Jankovic-Rivera syndrome · SMA-PME

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

Spinal muscular atrophy-progressive myoclonic epilepsy syndrome is characterized by hereditary myoclonus and progressive distal muscular atrophy. Less than 10 cases have been reported. Treatment with clonazepam results in complete and lasting improvement of the myoclonus.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSpinal muscular atrophy-progressive myoclonic epilepsy syndromeHereditary myoclonus-progressive distal muscular atrophy syndrome · Jankovic-Rivera syndrome · SMA-PME
frSyndrome d'amyotrophie spinale proximale-épilepsie myoclonique progressiveSMA-PME · Syndrome de Jankovic-Rivera
deSpinale Muskelatrophie-progressive Myoklonusepilepsie-SyndromHereditärer Myoklonus-progressive distale Muskelatrophie-Syndrom · Jankovic-Rivera-Syndrom
esSíndrome de atrofia muscular espinal-epilepsia mioclónica progresivaSíndrome de Jankovic-Rivera · Síndrome hereditario de mioclonías-atrofia muscular distal progresiva
itAtrofia muscolare spinale - epilessia mioclonica progressivaSindrome di Jankovic-Rivera · Sindrome mioclonia ereditaria-atrofia muscolare distale progressiva
nlSpinale musculaire atrofie - progressieve myoclonusepilepsie-syndroomErfelijke myoclonus - progressieve distale musculaire atrofie-syndroom · Erfelijke myoclonus - progressieve distale spieratrofie-syndroom · Spinale spieratrofie - progressieve myoclonische epilepsie-syndroom · Syndroom van Jankovic-Rivera
ptSíndrome de atrofia muscular espinhal-epilepsia mioclónica progressivaSíndrome Jankovi-Rivera · Síndrome de mioclonia hereditária-atrofia muscular distal progressiva
plDziedziczny mioklonus - postępująca atrofia mięśni dystalnychZespół Jankovica i Rivera
csSpinální svalová atrofie s progresivní myoklonickou epilepsiíSyndrom zahrnující hereditární myoklonus a progresivní distální svalovou atrofii · Jankovicův-Riverův syndrom · Jankovic-Riverův syndrom
ukСиндром прогресуючої спінальної мязової атрофії та міоклонічної епілепсіїСпадковий синдром міоклонусу - прогресуючої дистальної мязової атрофії · Синдром Янковича-Рівери · SMA-PME
zh脊髓性肌萎缩-进行性肌阵挛性癫痫综合征遗传性肌阵挛-进行性远端肌肉萎缩综合征
trSpinal müsküler atrofi-ilerleyici miyoklonik epilepsi sendromuSMA-PME · Jankovic-Rivera sendromu · Kalıtsal miyoklonus-ilerleyici distal kas atrofisi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM159950Evalidated
ICD-10G25.3NTBTattributedvalidated
MONDO0008045Evalidated
MeSHC537563Evalidated
UMLSC1834569Evalidated
GARD3875Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

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Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ASAH1Disease-causing germline mutation(s) inAssessedHGNC:735ENSG000001047636134688p22N-acylsphingosine amidohydrolase 122703880[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

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HPO phenotypes

33 annotations · validated 2020-06-02
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001250SeizureDiagnostic criterion
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0002366Abnormal lower motor neuron morphology
HP:0004302Functional motor deficit
HP:0007340Lower limb muscle weakness
HP:0001336Myoclonus
Frequent (79-30%)
HP:0010819Atonic seizure
HP:0000708Atypical behavior
HP:0002312Clumsiness
HP:0002359Frequent falls
HP:0001288Gait disturbance
HP:0002123Generalized myoclonic seizure
HP:0002100Recurrent aspiration pneumonia
HP:0002747Respiratory insufficiency due to muscle weakness
HP:0001337Tremor
HP:0011147Typical absence seizure
Occasional (29-5%)
HP:0025190Bilateral tonic-clonic seizure with generalized onset
HP:0025097Eyelid myoclonus
HP:0001757High-frequency sensorineural hearing impairment
HP:0002540Inability to walk
HP:0045084Limb myoclonus
HP:0001268Mental deterioration
HP:0032667Myoclonic status epilepticus
HP:0002878Respiratory failure
HP:0002650Scoliosis
HP:0000407Sensorineural hearing impairment
HP:0002515Waddling gait
Very rare (<4-1%)
HP:0002015Dysphagia
HP:0001249Intellectual disability
Excluded (0%)
HP:0001371Flexion contracture
HP:0001433Hepatosplenomegaly
HP:0001609Hoarse voice
HP:0200036Skin nodule

Run the differential on the 6 obligate / very frequent terms

Annotation source: 29595935[PMID]_30029679[PMID]

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Sources for this card