PMID- 8967750 OWN - NLM STAT- MEDLINE DCOM- 19961212 LR - 20101118 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 39 IP - 2 DP - 1996 Feb TI - Clinical and genetic analysis of a large pedigree with juvenile myoclonic epilepsy. PG - 187-95 AB - Juvenile myoclonic epilepsy is a common type of idiopathic generalized epilepsy characterized by myoclonic, generalized tonic-clonic, and in 30% of patients, absence seizures. We studied a three-generation pedigree of 33 members, 10 of whom were clinically affected with juvenile myoclonic epilepsy or presented with subclinical electroencephalographic (EEG) 3.5- to 6.0-Hz diffuse polyspike-wave or spike-wave complexes. Juvenile myoclonic epilepsy and the EEG trait segregated as an autosomal dominant trait with 70% penetrance. Linkage analysis using this model showed significant linkage to four microsatellite markers centromeric to human leukocyte antigen (HLA) in chromosome 6p. Maximum lod scores of 3.43 at theta(m=f)=0.00 for D6S272, D6S466, D6S257, and D6S402 were obtained. Recombinant events in 2 affected members defined the gene region to a 43-cM interval flanked by D6S258 (HLA region) and D6S313 (centromere). Our results in this large family provide evidence that a gene responsible for juvenile myoclonic epilepsy and the subclinical, 3.5- to 6.0-Hz, polyspike-wave or spike-wave EEG pattern is located in chromosome 6p. FAU - Serratosa, J M AU - Serratosa JM AD - California Comprehensive Epilepsy Program, University of California, Los Angeles, 90073, USA. FAU - Delgado-Escueta, A V AU - Delgado-Escueta AV FAU - Medina, M T AU - Medina MT FAU - Zhang, Q AU - Zhang Q FAU - Iranmanesh, R AU - Iranmanesh R FAU - Sparkes, R S AU - Sparkes RS LA - eng PT - Journal Article PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 SB - IM MH - Adolescent MH - Adult MH - Electroencephalography MH - Epilepsies, Myoclonic/*genetics/*physiopathology MH - Female MH - Genes, Dominant MH - Genetic Linkage MH - Humans MH - Male MH - Microsatellite Repeats MH - Middle Aged MH - Pedigree MH - Recombination, Genetic EDAT- 1996/02/01 00:00 MHDA- 1996/02/01 00:01 CRDT- 1996/02/01 00:00 PHST- 1996/02/01 00:00 [pubmed] PHST- 1996/02/01 00:01 [medline] PHST- 1996/02/01 00:00 [entrez] AID - 10.1002/ana.410390208 [doi] PST - ppublish SO - Ann Neurol. 1996 Feb;39(2):187-95. doi: 10.1002/ana.410390208.