raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:725

Developmental and epileptic encephalopathy with spike-wave activation in sleep

Synonyms: Epileptic encephalopathy with continuous spike-and-wave during slow sleep · Epileptic encephalopathy with spike-and wave activation in sleep · CSWS · CSWSS syndrome · Continuous spikes and waves during sleep · Continuous spikes and waves during slow-wave sleep · DEE-SWAS

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Childhood
Status
active

Continuous spikes and waves during sleep (CSWS) is a rare epileptic encephalopathy of childhood characterized by seizures, an electroencephalographic (EEG) pattern of electrical status epilepticus in sleep (ESES) and neurocognitive regression in at least 2 domains of development.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDevelopmental and epileptic encephalopathy with spike-wave activation in sleepEpileptic encephalopathy with continuous spike-and-wave during slow sleep · Epileptic encephalopathy with spike-and wave activation in sleep · CSWS · CSWSS syndrome · Continuous spikes and waves during sleep · Continuous spikes and waves during slow-wave sleep · DEE-SWAS
frEncéphalopathie épileptique et développementale avec activation des pointe-ondes dans le sommeilCSWS · EEPOCS · EPOCS · Encéphalopathie épileptique avec pointe-continues du sommeil · Encéphalopathie épileptique avec pointes-ondes continues au cours du sommeil lent · Epilepsie avec pointes-ondes continues pendant le sommeil lent · Syndrome CSWSS · Syndrome POCS · Syndrome des pointes-ondes continues du sommeil · Syndrome des pointes-ondes continues pendant le sommeil lent
deEpilepsie mit kontinuierlichen Spike-Wave-Entladungen im SchlafBioelektrischer Status epilepticus im Schlaf · CSWS · CSWS-Syndrom · DEE-SWAS · ESES-Syndrom · Entwicklungsbedingte und epileptische Enzephalopathie mit Spike-Wave-Aktivierung im Schlaf · Epileptische Enzephalopathie mit kontinuierlichen Spike-Wave-Entladungen im Slow-Wave-Schlaf
esEncefalopatía epiléptica y del desarrollo con activación de punta-onda durante el sueñoCSWS · DEE-SWAS · Encefalopatía epiléptica con activación de punta-onda durante el sueño · Encefalopatía epiléptica con punta-onda continua durante el sueño lento · Punta-onda continua durante el sueño lento · Puntas y ondas continuas durante el sueño · Síndrome CSWSS
itEncefalopatia epilettica e dello sviluppo con attivazione di punte-onda durante il sonnoDEE-SWAS · Encefalopatia epilettica con attivazione di punte- onda durante il sonno · CSWS · Encefalopatia epilettica con punte-onde continue durante il sonno lento · Punte e onde continue durante il sonno ad onde lente · Sindrome CSWSS · Punte e onde continue durante il sonno
nlOntwikkelings- en epileptische encefalopathie met activatie van piekgolven tijdens de slaapEpileptische encefalopathie met activatie van piekgolven tijdens de slaap · Epileptische encefalopathie met continue piekgolven tijdens de trage slaap · CSWS · CSWSS-syndroom · Continue piekgolven tijdens de slaap · Continue piekgolven tijdens de tragegolfslaap · DEE-SWAS
ptEncefalopatia epiléptica e do desenvolvimento com ativação de pico-onda durante o sonoCSWS · DEE-SWAS · Encefalopatia epiléptica com ativação de picos e ondas durante o sono · Encefalopatia epiléptica com picos e ondas contínuos durante o sono lento · Picos e ondas contínuas durante o sono · Picos e ondas contínuas durante o sono de ondas lentas · Síndrome CSWS
plZespół ciągłych wyładowań podczas snu wolnofalowegoCSWS · Encefalopatia padaczkowa z ciągłymi wyładowaniami podczas snu wolnofalowego · Wyładowania ciągłe i fale podczas snu wolnofalowego · Zespół CSWSS
csKontinuální hroty a vlny během spánkuCSWS · CSWSS syndrom · Kontinuální hroty a vlny během hlubokého spánku · Epileptická encefalopatie s kontinuálními hroty a vlnami během spánku
ukПостійна пік-хвильова активність під час снуБезперервні піки та хвилі під час повільного сну · CSWS · Синдром CSWSS · Епілептична енцефалопатія з безперервними пік-хвилями під час повільного сну
zh睡眠中脑电图持续尖峰/波浪癫痫性脑病伴慢波睡眠中脑电图持续尖峰/波浪
trUyku sırasında sürekli yükselen ve dalgalanmalarCSWS · CSWSS sendromu · Yavaş dalga uykusu sırasında devam eden yükselmeler ve dalgalar · Yavaş uyku sırasında devamlı yükselen ve dalgalı epileptik ensefalopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM245570NTBTvalidated
ICD-10G40.4NTBTattributedvalidated
ICD-118A62.YNTBTindexvalidated
MONDO0019123Evalidated
UMLSC5552731Evalidated
GARD1513Evalidated
MedDRA10078827Evalidated

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
GRIN2ADisease-causing germline mutation(s) inAssessedHGNC:4585ENSG0000018345413825316p13.2glutamate ionotropic receptor NMDA type subunit 2A27683935[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—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

30 annotations · validated 2021-01-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031491Continuous spike and waves during slow sleep
HP:0011182Interictal epileptiform activity
HP:0001250Seizure
Frequent (79-30%)
HP:0007270Atypical absence seizure
HP:0002069Bilateral tonic-clonic seizure
HP:0100543Cognitive impairment
HP:0002376Developmental regression
HP:0012557EEG with centrotemporal focal spike waves
HP:0012010EEG with frontal focal spike waves
HP:0002349Focal aware seizure
HP:0006813Focal hemiclonic seizure
HP:0002384Focal impaired awareness seizure
HP:0011153Focal motor seizure
HP:0007359Focal-onset seizure
HP:0001249Intellectual disability
Occasional (29-5%)
HP:0000718Aggressive behavior
HP:0002381Aphasia
HP:0010819Atonic seizure
HP:0000729Autistic behavior
HP:0002312Clumsiness
HP:0001332Dystonia
HP:0012001EEG with generalized polyspikes
HP:0002266Focal clonic seizure
HP:0002487Hyperkinetic movements
HP:0002333Motor deterioration
HP:0011150Myoclonic absence
HP:0001345Psychotic mentation
HP:0011098Speech apraxia
HP:0009088Speech articulation difficulties
HP:0011147Typical absence seizure

Run the differential on the 3 obligate / very frequent terms

Annotation source: 33132036[PMID]_27683935[PMID]_31262717[PMID]

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Sources for this card