Progressive epilepsy-intellectual deficit, Finnish type

General Information (adopted from Orphanet):

Synonyms, Signs: EPILEPSY, PROGRESSIVE, WITH MENTAL RETARDATION
EPMR
Neuronal ceroid lipofuscinosis, Northern epilepsy variant
CLN8 disease, Northern epilepsy variant
northern epilepsy
NCL, Northern epilepsy variant
Number of Symptoms 28
OrphanetNr: 1947
OMIM Id: 610003
ICD-10: E75.4
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Autosomal recessive
[Orphanet]
Age of onset: Childhood
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Monogenic disease with epilepsy
 -Rare genetic disease
 -Rare neurologic disease
Neuronal ceroid lipofuscinosis
 -Rare eye disease
 -Rare genetic disease
 -Rare neurologic disease
Progressive myoclonic epilepsy
 -Rare genetic disease
 -Rare neurologic disease

Symptom Information: Sort by abundance 

1
(HPO:0000572) Visual loss Very frequent [Orphanet] 272 / 7739
2
(HPO:0001249) Intellectual disability 1089 / 7739
3
(HPO:0001250) Seizures Very frequent [Orphanet] 1245 / 7739
4
(HPO:0002353) EEG abnormality Very frequent [Orphanet] 188 / 7739
5
(HPO:0000708) Behavioral abnormality Very frequent [Orphanet] 212 / 7739
6
(HPO:0002069) Generalized tonic-clonic seizures 96 / 7739
7
(HPO:0000711) Restlessness 18 / 7739
8
(HPO:0002384) Focal seizures with impairment of consciousness or awareness 17 / 7739
9
(HPO:0001268) Mental deterioration 88 / 7739
10
(HPO:0002312) Clumsiness 28 / 7739
11
(HPO:0000737) Irritability 93 / 7739
12
(HPO:0003205) Curvilinear intracellular accumulation of autofluorescent lipopigment storage material 10 / 7739
13
(HPO:0002074) Increased neuronal autofluorescent lipopigment 10 / 7739
14
(OMIM) Cerebellar atrophy, progressive 6 / 7739
15
(HPO:0002059) Cerebral atrophy 171 / 7739
16
(OMIM) Mental retardation by age 30 years 1 / 7739
17
(HPO:0001272) Cerebellar atrophy 197 / 7739
18
(OMIM) Inattentiveness 1 / 7739
19
(HPO:0003677) Slow progression 134 / 7739
20
(HPO:0000007) Autosomal recessive inheritance 2538 / 7739
21
(OMIM) Cerebral atrophy, progressive 4 / 7739
22
(OMIM) Intracellular granular material on ultrastructural analysis 1 / 7739
23
(OMIM) Seizures, onset age 5 to 10 years 1 / 7739
24
(OMIM) Irritability beginning at puberty 1 / 7739
25
(OMIM) Difficulties with equilibrium 1 / 7739
26
(OMIM) Autofluorescent lipopigment in neurons 11 / 7739
27
(OMIM) Mental deterioration beginning 2 to 5 years after onset of seizures 1 / 7739
28
(HPO:0012758) Neurodevelopmental delay Frequent [Orphanet] 949 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) The neuronal ceroid lipofuscinoses (NCL; CLN) are a clinically and genetically heterogeneous group of neurodegenerative disorders characterized by the intracellular accumulation of autofluorescent lipopigment storage material in different patterns ultrastructurally. The lipopigment patterns observed most often in CLN8 ...
Clinical Description OMIM Hirvasniemi et al. (1994) presented genealogic and phenotypic features of a recessively inherited form of childhood epilepsy occurring in the population of northern Finland, referred to as 'Northern epilepsy.' With 1 exception, both parents of all 11 sibships ...
Molecular genetics OMIM In 22 Finnish patients with Northern epilepsy, Ranta et al. (1999) identified homozygosity for an arg24-to-gly mutation in the CLN8 gene (R24G; 607837.0001). The carrier frequency was 1 in 135, compatible with a founder effect.