Myoclonus with epilepsy with ragged red fibers
Other Names for this Disease
- Fukuhara syndrome
- Merrf syndrome
- Myoclonic epilepsy associated with ragged-red fibers
- Myoencephalopathy ragged-red fiber disease
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myoclonus, which is often the first symptom, followed by generalized epilepsy, ataxia, weakness, and dementia. Symptoms usually first appear in childhood after normal early development but symptoms can also first occur in adulthood. Symptoms vary widely from individual to individual and the course may be slowly progressive or rapidly downhill. Other common findings include hearing loss, short stature, optic atrophy, and cardiomyopathy with Wolff-Parkinson-White (WPW) syndrome. The diagnosis is based on clinical features and a muscle biopsy finding of ragged red fibers (RRF) . The condition is caused by mutations - that can be detected with genetic testing in 90% of affected individuals - in the mitochondrial gene called MT-TK. The seizure disorder is treated with conventional anticonvulsant therapy. Coenzyme Q10 and L-carnitine are often used in hopes of improving mitochondrial function.MERRF is a disorder characterized by
Last updated: 6/17/2008
- Seidman, Roberta. eMedicine. Muscle Biopsy and the Pathology of Skeletal Muscle. Nov 2, 2006; http://www.emedicine.com/neuro/topic230.htm. Accessed 6/16/2008.
- DiMauro, S. and Hirano, M. MERRF. GeneReviews. September 27, 2005; http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=merrf. Accessed 6/16/2008.
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- The Social Security Administration has included this condition in their Compassionate Allowances Initiative. This initiative speeds up the processing of disability claims for applicants with certain medical conditions that cause severe disability. More information about Compassionate Allowances and applying for Social Security disability is available online.