raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:324588

Familial dyskinesia and facial myokymia

Synonyms: FDFM

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

Familial dyskinesia and facial myokymia is a rare paroxysmal movement disorder, with childhood or adolescent onset, characterized by paroxysmal choreiform, dystonic, and myoclonic movements involving the limbs (mostly distal upper limbs), neck and/or face, which can progressively increase in both frequency and severity until they become nearly constant. Patients may also present with delayed motor milestones, perioral and periorbital dyskinesias, dysarthria, hypotonia, and weakness.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFamilial dyskinesia and facial myokymiaFDFM
frDyskinésie familiale avec myokymie faciale
deFamiliäre Dyskinesie und faziale Myokymie= en
esDiscinesia familiar y mioquimia facial= en
itDiscinesia familiare e miochimia facciale= en
nlFamiliale dyskinesie en faciale myokymie= en
ptDiscinésia familiar e mioquimia facial
plRodzinna dyskinezja i miokimia twarzy= en
csFamiliární dyskineze a faciální myokymie= en
ukСімейна дискінезія та міокімія обличчя= en
zh家族性运动障碍与面肌颤搐= en
trAilesel diskinezi ve yüz miyokimi= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM606703BTNTvalidated
OMIM619647BTNTvalidated
ICD-10G51.4NTBTattributedvalidated
MONDO0800028Evalidated
MeSHC564676Evalidated
UMLSC1847627Evalidated
GARD12722Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ADCY5Disease-causing germline mutation(s) inAssessedHGNC:236ENSG000001731756002933q21.1adenylate cyclase 522782511[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families18 casesWorldwideCase(s)Validated11310626[PMID]_22782511[PMID]
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.

6

HPO phenotypes

15 annotations · validated 2018-11-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000317Facial myokymiaDiagnostic criterion
HP:0002310Orofacial dyskinesiaDiagnostic criterion
Frequent (79-30%)
HP:0008936Axial hypotonia
HP:0002072Chorea
HP:0001260Dysarthria
HP:0001332Dystonia
HP:0001288Gait disturbance
HP:0002509Limb hypertonia
HP:0001336Myoclonus
HP:0002322Resting tremor
Occasional (29-5%)
HP:0001635Congestive heart failure
HP:0002194Delayed gross motor development
HP:0001644Dilated cardiomyopathy
HP:0001347Hyperreflexia
Excluded (0%)
HP:0001249Intellectual disability

Run the differential on the 2 obligate / very frequent terms

Annotation source: 22782511[PMID]_11310626[PMID]

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Sources for this card