raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:501

Lafora disease

Synonyms: EPM2 · PME type 2 · Progressive myoclonic epilepsy type 2 · Progressive myoclonus epilepsy type 2

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

A rare, inherited, severe form of progressive myoclonus epilepsy characterized by drug-resistant epilepsy, myoclonus, and psychomotor deterioration affecting previously healthy children or adolescents.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLafora diseaseEPM2 · PME type 2 · Progressive myoclonic epilepsy type 2 · Progressive myoclonus epilepsy type 2
frMaladie de LaforaEMP type 2 · EPM2 · Epilepsie myoclonique progressive type 2 · PME type 2
deLafora-KrankheitEPM2 · Epilepsie, myoklonische progressive, Typ 2 · PME Typ 2 · Progressive Myoklonus-Epilepsie Typ 2
esEnfermedad de LaforaEMP tipo 2 · EPM2 · Epilepsia mioclónica progresiva tipo 2 · Epilepsia progresiva con mioclonías tipo 2
itMalattia di LaforaEPM2 · Epilessia mioclonica progressiva, tipo 2 · PME, tipo 2
nlZiekte van LaforaEPM2 · PME type 2 · Progressieve myoclonische epilepsie type 2 · Progressieve myoclonusepilepsie type 2
ptDoença de LaforaEpilepsia mioclónica progressiva tipo 2
plChoroba ciałek LaforaEPM2 · PME typu 2 · Postępująca padaczka miokloniczna typu 2 · Progressive myoclonus epilepsy type 2
csLaforova nemocEPM2 · PME, typ 2 · Progresivní myoklonická epilepsie Laforova typu · Progresivní myoklonická epilepsie, typ 2
ukХвороба ЛафораEPM2 · PME тип 2 · Прогресуюча міоклонічна епілепсія типу 2 · Прогресуюча міоклонусна епілепсія типу 2
zhLafora病进行性肌阵挛性癫痫2型
trLafora hastalığıEPM2 · PME tip 2 · İlerleyici miyoklonik epilepsi tip 2 · İlerleyici miyoklonus epilepsi tip 2

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM254780BTNTvalidated
OMIM620681BTNTvalidated
ICD-10G40.3NTBTattributedvalidated
ICD-118A61.41NTBTindexvalidated
MONDO0009697Evalidated
MeSHD020192Evalidated
UMLSC0751783Evalidated
GARD8214Evalidated
MedDRA10054030Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EPM2ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:3413ENSG000001124256075666q24.3EPM2A glucan phosphatase, laforin20301563[PMID]_22047982[PMID]_22669944[PMID]
NHLRC1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:21576ENSG000001875666080726p22.3NHL repeat containing E3 ubiquitin protein ligase 120301563[PMID]_22047982[PMID]_22669944[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000FranceValue and classValidated[EXPERT]
Point prevalence1-9 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET
Cases/families300 casesWorldwideCase(s)Validated25217339[PMID]
Point prevalence1-9 / 1 000 0000.02 / 100 000WorldwideValue and classValidated29489177[PMID]_ORPHANET

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

35 annotations · validated 2019-04-02
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0100318Lafora bodies
Very frequent (99-80%)
HP:0001250Seizure
Frequent (79-30%)
HP:0001251Ataxia
HP:0001289Confusion
HP:0000726Dementia
HP:0000716Depression
HP:0001260Dysarthria
HP:0000712Emotional lability
HP:0025357Erratic myoclonus
HP:0001288Gait disturbance
HP:0002123Generalized myoclonic seizure
HP:0001312Giant somatosensory evoked potentials
HP:0002315Headache
HP:0002521Hypsarrhythmia
HP:0002540Inability to walk
HP:0001268Mental deterioration
HP:0040288Nasogastric tube feeding
HP:0002100Recurrent aspiration pneumonia
HP:0001257Spasticity
HP:0002133Status epilepticus
HP:0002367Visual hallucinations
Occasional (29-5%)
HP:0010819Atonic seizure
HP:0007270Atypical absence seizure
HP:0002069Bilateral tonic-clonic seizure
HP:0007334Bilateral tonic-clonic seizure with focal onset
HP:0012444Brain atrophy
HP:0002384Focal impaired awareness seizure
HP:0011165Focal sensory seizure with visual features
HP:0007359Focal-onset seizure
HP:0002121Generalized non-motor (absence) seizure
HP:0001399Hepatic failure
HP:0001336Myoclonus
HP:0007537Severe photosensitivity
HP:0002360Sleep abnormality
HP:0031358Vegetative state

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30143794[PMID]_15781812[PMID]_20301563[PMID]_28800070[PMID]_30638256[PMID]

7

Sources for this card