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Most Common: Hearing Loss (D034381), Deafness (D003638), Sensorineural HL (D006319), Waardenburg Syndrome, Usher Syndromes
Term ID:6182
Name:Lafora Disease
Definition:A form of stimulus sensitive myoclonic epilepsy inherited as an autosomal recessive condition. The most common presenting feature is a single seizure in the second decade of life. This is followed by progressive myoclonus, myoclonic seizures, tonic-clonic seizures, focal occipital seizures, intellectual decline, and severe motor and coordination impairments. Most affected individuals do not live past the age of 25 years. Concentric amyloid (Lafora) bodies are found in neurons, liver, skin, bone, and muscle (From Menkes, Textbook of Childhood Neurology, 5th ed, pp111-110)
Alternative IDs:OMIM:254780
ParentIDs:MESH:D020191|MESH:D020271
TreeNumbers:C10.228.140.490.250.650.500 |C10.574.500.529 |C16.320.400.480
Synonyms:Disease, Lafora |Disease, Lafora Body |Disorder, Lafora Body |Epilepsy Progressive Myoclonic 2 |Epilepsy, Progressive Myoclonic 2A |EPILEPSY, PROGRESSIVE MYOCLONIC, 2A |Epilepsy, Progressive Myoclonic, Lafora |EPM2A |EPM2B, INCLUDED |EPM2 EPILEPSY, PROGRESSIVE MY
Slim Mappings:Genetic disease (inborn)|Nervous system disease
Reference: MedGen: D020192
MeSH: D020192
OMIM: 254780;

Genes: EPM2A; NHLRC1;
Phenotypes
1 HP:0000007Autosomal recessive inheritance
2 HP:0007334Bilateral tonic-clonic seizure with focal onset
3 HP:0001939Abnormality of metabolism/homeostasis
4 HP:0002186Apraxia
5 HP:0000992Cutaneous photosensitivity
6 HP:0000726Dementia
7 HP:0011165Focal sensory seizure with visual features
8 HP:0001288Gait disturbance
9 HP:0002123Generalized myoclonic seizure
10 HP:0002121Generalized non-motor (absence) seizure
11 HP:0001399Hepatic failure
12 HP:0001425Heterogeneous
13 HP:0001336Myoclonus
14 HP:0025121obsolete Simple partial occipital seizures
15 HP:0002344Progressive neurologic deterioration
16 HP:0000709Psychosis
17 HP:0003678Rapidly progressive
18 HP:0002367Visual hallucinations
19 HP:0000572Visual loss
Disease Causing ClinVar Variants
Variation_NameGeneIDGeneSymbolClinicalSignificancedbSNPRCVaccessionTestedInGTRPhenotypeIDsChromosomeStartStopHGVS_cHGVS_pHGVS_gOtherIDsDisease_ClinVarDisease_hgmd
NM_005670.3(EPM2A):c.163C>A (p.Gln55Lys)-1-Benign;Likely benign;Uncertain significance187930476RCV000192024; RCV000116984; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:CN1693746146056472146056472NM_005670.3:c.163C>ANP_005661.1:p.Gln55LysNC_000006.11:g.146056472G>T-C0751783 254780 Lafora disease; CN169374 not specified
NM_005670.3(EPM2A):c.136G>C (p.Ala46Pro)-1-Benign374338349RCV000192023; RCV000173389; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:CN1693746146056499146056499NM_005670.3:c.136G>CNP_005661.1:p.Ala46ProNC_000006.11:g.146056499C>G,NC_000006.11:g.146056499C>T-C0751783 254780 Lafora disease; CN169374 not specified
NM_005670.3(EPM2A):c.94T>G (p.Trp32Gly)-1-Pathogenic104893955RCV000003253; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046146056541146056541NM_005670.3:c.94T>GNP_005661.1:p.Trp32GlyNC_000006.11:g.146056541A>COMIM Allelic Variant:607566.0010C0751783 254780 Lafora disease
NM_005670.3(EPM2A):c.950dupT (p.Gln319Profs)7957EPM2APathogenic587776554RCV000003252; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046145948598145948598NM_005670.3:c.950dupTNP_005661.1:p.Gln319ProfsOMIM Allelic Variant:607566.0009C0751783 254780 Lafora disease
NM_005670.3(EPM2A):c.835G>A (p.Gly279Ser)7957EPM2APathogenic137852917RCV000003245; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046145948713145948713NM_005670.3:c.835G>ANP_005661.1:p.Gly279SerNC_000006.11:g.145948713C>TOMIM Allelic Variant:607566.0002C0751783 254780 Lafora disease
NM_005670.3(EPM2A):c.721C>T (p.Arg241Ter)7957EPM2APathogenic104893950RCV000003244; RCV000187394; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:CN2218096145948827145948827NM_005670.3:c.721C>TNP_005661.1:p.Arg241TerNC_000006.11:g.145948827G>AOMIM Allelic Variant:607566.0001C0751783 254780 Lafora disease; CN221809 not provided
NM_005670.3(EPM2A):c.512G>A (p.Arg171His)7957EPM2APathogenic137852916RCV000003248; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046145956587145956587NM_005670.3:c.512G>ANP_005661.1:p.Arg171HisNC_000006.11:g.145956587C>TOMIM Allelic Variant:607566.0005C0751783 254780 Lafora disease
NM_005670.3(EPM2A):c.335dupA (p.Tyr112Terfs)7957EPM2APathogenic587776553RCV000003247; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046146007399146007399NM_005670.3:c.335dupANP_005661.1:p.Tyr112TerfsOMIM Allelic Variant:607566.0004C0751783 254780 Lafora disease
NM_005670.3(EPM2A):c.322C>T (p.Arg108Cys)7957EPM2APathogenic137852915RCV000003246; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:2304250046146007412146007412NM_005670.3:c.322C>TNP_005661.1:p.Arg108CysNC_000006.11:g.146007412G>AOMIM Allelic Variant:607566.0003C0751783 254780 Lafora disease
NM_198586.2(NHLRC1):c.664G>T (p.Glu222Ter)378884NHLRC1Pathogenic794726964RCV000173592; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:23042500461812217418122174NM_198586.2:c.664G>TNP_940988.2:p.Glu222TerNC_000006.11:g.18122174C>A-C0751783 254780 Lafora disease
NM_198586.2(NHLRC1):c.593T>A (p.Ile198Asn)378884NHLRC1Pathogenic121917876RCV000002709; RCV000192028; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:C185076461812224518122245NM_198586.2:c.593T>ANP_940988.2:p.Ile198AsnNC_000006.11:g.18122245A>TOMIM Allelic Variant:608072.0006C1850764 Epilepsy, progressive myoclonic 2b; C0751783 254780 Lafora disease
NM_198586.2(NHLRC1):c.468_469delAG (p.Gly158Argfs)378884NHLRC1Pathogenic587776542RCV000002706; RCV000192029; RCV000188221; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:C1850764; MedGen:CN22180961812236918122370NM_198586.2:c.468_469delAGNP_940988.2:p.Gly158ArgfsNC_000006.11:g.18122369_18122370delCTOMIM Allelic Variant:608072.0003C1850764 Epilepsy, progressive myoclonic 2b; C0751783 254780 Lafora disease; CN221809 not provided
NM_198586.2(NHLRC1):c.436G>A (p.Asp146Asn)378884NHLRC1Pathogenic769301934RCV000192027; RCV000188209; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:CN22180961812240218122402NM_198586.2:c.436G>ANP_940988.2:p.Asp146AsnNC_000006.11:g.18122402C>T-C0751783 254780 Lafora disease; CN221809 not provided
NM_198586.2(NHLRC1):c.205C>G (p.Pro69Ala)378884NHLRC1Pathogenic28940576RCV000002705; RCV000192026; RCV000188208; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:C1850764; MedGen:CN22180961812263318122633NM_198586.2:c.205C>GNP_940988.2:p.Pro69AlaNC_000006.11:g.18122633G>COMIM Allelic Variant:608072.0002C1850764 Epilepsy, progressive myoclonic 2b; C0751783 254780 Lafora disease; CN221809 not provided
NM_198586.2(NHLRC1):c.76T>A (p.Cys26Ser)378884NHLRC1Pathogenic28940575RCV000002704; RCV000192025; NMedGen:C0751783,OMIM:254780,ORPHA:501,SNOMED CT:230425004; MedGen:C185076461812276218122762NM_198586.2:c.76T>ANP_940988.2:p.Cys26SerNC_000006.11:g.18122762A>TOMIM Allelic Variant:608072.0001C1850764 Epilepsy, progressive myoclonic 2b; C0751783 254780 Lafora disease