Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances

The progressive myoclonus epilepsies (PME) are a diverse group of disorders that feature both myoclonus and seizures that worsen gradually over a variable timeframe. While each of the disorders is individually rare, they collectively make up a non-trivial portion of the complex epilepsy and myoclonu...

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Main Authors: Vincent Zimmern, Berge Minassian
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/15/2/171
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author Vincent Zimmern
Berge Minassian
author_facet Vincent Zimmern
Berge Minassian
author_sort Vincent Zimmern
collection DOAJ
description The progressive myoclonus epilepsies (PME) are a diverse group of disorders that feature both myoclonus and seizures that worsen gradually over a variable timeframe. While each of the disorders is individually rare, they collectively make up a non-trivial portion of the complex epilepsy and myoclonus cases that are seen in tertiary care centers. The last decade has seen substantial progress in our understanding of the pathophysiology, diagnosis, prognosis, and, in select disorders, therapies of these diseases. In this scoping review, we examine English language publications from the past decade that address diagnostic, phenotypic, and therapeutic advances in all PMEs. We then highlight the major lessons that have been learned and point out avenues for future investigation that seem promising.
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spelling doaj.art-c2b3faffa97642f1a97832b8f690a6c12024-02-23T15:17:43ZengMDPI AGGenes2073-44252024-01-0115217110.3390/genes15020171Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic AdvancesVincent Zimmern0Berge Minassian1Division of Child Neurology, University of Texas Southwestern, Dallas, TX 75390, USADivision of Child Neurology, University of Texas Southwestern, Dallas, TX 75390, USAThe progressive myoclonus epilepsies (PME) are a diverse group of disorders that feature both myoclonus and seizures that worsen gradually over a variable timeframe. While each of the disorders is individually rare, they collectively make up a non-trivial portion of the complex epilepsy and myoclonus cases that are seen in tertiary care centers. The last decade has seen substantial progress in our understanding of the pathophysiology, diagnosis, prognosis, and, in select disorders, therapies of these diseases. In this scoping review, we examine English language publications from the past decade that address diagnostic, phenotypic, and therapeutic advances in all PMEs. We then highlight the major lessons that have been learned and point out avenues for future investigation that seem promising.https://www.mdpi.com/2073-4425/15/2/171progressive myoclonic epilepsyUnverricht-Lundborg diseaseLafora diseaseacid ceramidase deficiencymyoclonic epilepsy with ragged red fibersneuronal ceroid lipofuscinoses
spellingShingle Vincent Zimmern
Berge Minassian
Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
Genes
progressive myoclonic epilepsy
Unverricht-Lundborg disease
Lafora disease
acid ceramidase deficiency
myoclonic epilepsy with ragged red fibers
neuronal ceroid lipofuscinoses
title Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
title_full Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
title_fullStr Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
title_full_unstemmed Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
title_short Progressive Myoclonus Epilepsy: A Scoping Review of Diagnostic, Phenotypic and Therapeutic Advances
title_sort progressive myoclonus epilepsy a scoping review of diagnostic phenotypic and therapeutic advances
topic progressive myoclonic epilepsy
Unverricht-Lundborg disease
Lafora disease
acid ceramidase deficiency
myoclonic epilepsy with ragged red fibers
neuronal ceroid lipofuscinoses
url https://www.mdpi.com/2073-4425/15/2/171
work_keys_str_mv AT vincentzimmern progressivemyoclonusepilepsyascopingreviewofdiagnosticphenotypicandtherapeuticadvances
AT bergeminassian progressivemyoclonusepilepsyascopingreviewofdiagnosticphenotypicandtherapeuticadvances