Late-onset and slow-progressing Lafora disease in four siblings with EPM2B mutation

Betul Baykan, Pasquale Striano, Stefania Gianotti, Nerses Bebek, Elena Gennaro, Candan Gurses, Federico Zara

Research output: Contribution to journalArticlepeer-review


We report a family with four brothers affected by Lafora disease (LD). Mean age at onset was 19.5 years (range, 17-21). In all cases, the initial obvious symptoms were diffuse myoclonus and occasional generalized tonic-clonic seizures (GTCSs), followed by cognitive difficulties. Severity of myoclonus, seizure diaries, and neurologic and neuropsychological status were finally evaluated in March 2005. The duration of follow-up was >10 years for three subjects. Daily living activities and social interaction were preserved in all cases and, overall, the progression of the disease was slow. Genetic study revealed the homozygous mutation D146N in the EPM2B gene. We suggest that this mutation may be associated with a less severe LD phenotype.

Original languageEnglish
Pages (from-to)1695-1697
Number of pages3
Issue number10
Publication statusPublished - Oct 2005


  • EPM2B
  • Lafora disease
  • Myoclonus
  • Progressive myoclonic epilepsy

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)


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