Myoclonus in childhood-onset neurogenetic disorders: The importance of early identification and treatment

Research output: Contribution to journalArticle

Abstract

Background In clinical practice, myoclonus in childhood-onset neurogenetic disorders frequently remains unrecognized, because it is often overshadowed by other neurological features. Since treatment can lead to significant functional improvement, accurate phenotyping is essential. To demonstrate the importance of early identification and treatment, we report on four patients with various childhood-onset neurogenetic disorders suffering from myoclonus. Methods We evaluated four patients with established childhood-onset neurogenetic disorders and involuntary jerky movements, who visited our young-onset movement disorder outpatient clinic. Results We present the clinical data of four patients (aged 8-21 years) with childhood-onset neurogenetic disorders, including ataxia-telangiectasia, Coffin-Lowry syndrome and epileptic encephalopathy due to SCN1A mutations. All four suffered from jerky movements that hampered normal daily activities and that had gone unrecognized for several years. The presence of multifocal myoclonus was confirmed by polymyography. In all patients, treatment resulted in marked improvement of both myoclonus and overall functioning. Conclusion These cases highlight the relevance of actively searching for myoclonus in childhood-onset neurogenetic disorders, even when a molecular diagnosis has already been established. To further improve the awareness and recognition of myoclonus in children, we provide a list of childhood-onset neurogenetic disorders with myoclonus as important associated feature.

Details

Authors
  • Martje E. Van Egmond
  • Jan Willem J. Elting
  • Anouk Kuiper
  • Rodi Zutt
  • Kirsten R. Heineman
  • Oebele F. Brouwer
  • Deborah A. Sival
  • Michel A. Willemsen
  • Marina A.J. Tijssen
  • Tom J. De Koning
External organisations
  • University Medical Center Groningen
  • Radboud University Medical Center
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Neurology

Keywords

  • Movement disorders, Myoclonus, Neurogenetic disorders
Original languageEnglish
Pages (from-to)726-729
Number of pages4
JournalEuropean Journal of Paediatric Neurology
Volume19
Issue number6
Publication statusPublished - 2015 Jan 1
Publication categoryResearch
Peer-reviewedYes
Externally publishedYes