raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:352596

Progressive myoclonic epilepsy with dystonia

Synonyms: PMED · Progressive myoclonus epilepsy with dystonia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Progressive myoclonic epilepsy with dystonia is a rare, genetic epilepsy syndrome characterized by neonatal or early infantile onset of severe, progressive, typically frequent and prolonged myoclonic seizures that are refractory to treatment, associated with localized and/or generalized paroxysmal dystonia (which later becomes persistent). Other features include severe hypotonia, hemiplegia, psychomotor regression (or lack of psychomotor development) and progressive cerebral and cerebellar atrophy, with affected individuals becoming progressively non-reactive to environmental stimuli.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enProgressive myoclonic epilepsy with dystoniaPMED · Progressive myoclonus epilepsy with dystonia
frEpilepsie myoclonique progressive avec dystoniePMED
deMyoklonusepilepsie, progressive, mit DystoniePMED
esEpilepsia mioclónica progresiva con distoníaPMED
itEpilessia mioclonica progressiva con distoniaPMED
nlProgressieve myoclonische epilepsie met dystoniePMED · Progressieve myoclonusepilepsie met dystonie
ptEpilepsia mioclónica progressiva com distonia
plPostępująca padaczka miokloniczna z dystoniąPMED
csProgresivní myoklonická epilepsie s dystoniíPMED
ukПрогресуюча міоклонічна епілепсія з дистонієюPMED · Прогресуюча міоклонусна епілепсія з дистонією
zh进行性肌阵挛性癫痫伴肌张力障碍进行性肌阵挛癫痫伴肌张力障碍
trDistoni ile seyreden ilerleyici miyoklonik epilepsiPMED · Distoni ile seyreden ilerleyici miyoklonus epilepsisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615338NTBTvalidated
ICD-10G40.3NTBTattributedvalidated
MONDO0018126Evalidated
UMLSC4706413Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TBC1D24Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:29203ENSG0000016206561357716p13.3TBC1 domain family member 2421087195[PMID]_23343562[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 casesWorldwideCase(s)Validated21087195[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.

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HPO phenotypes

22 annotations · validated 2018-10-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007256Abnormal pyramidal sign
HP:0001332Dystonia
HP:0001336Myoclonus
HP:0002788Recurrent upper respiratory tract infections
Frequent (79-30%)
HP:0002188Delayed CNS myelination
HP:0002376Developmental regression
HP:0001326EEG with irregular generalized spike and wave complexes
HP:0200134Epileptic encephalopathy
HP:0011968Feeding difficulties
HP:0002123Generalized myoclonic seizure
HP:0008935Generalized neonatal hypotonia
HP:0000252Microcephaly
HP:0002133Status epilepticus
Occasional (29-5%)
HP:0002071Abnormality of extrapyramidal motor function
HP:0100275Diffuse cerebellar atrophy
HP:0002506Diffuse cerebral atrophy
HP:0001262Excessive daytime somnolence
HP:0001263Global developmental delay
HP:0001269Hemiparesis
HP:0002301Hemiplegia
HP:0025152Poor visual behavior for age
Very rare (<4-1%)
HP:0000648Optic atrophy

Run the differential on the 4 obligate / very frequent terms

Annotation source: 21087195[PMID]_23526554[PMID]

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Sources for this card