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Juvenile myoclonic epilepsy (JME)

Neurological · Dog

Juvenile myoclonic epilepsy of the Rhodesian ridgeback, with myoclonic jerks of juvenile onset and photosensitivity in some animals, phenotypically close to human juvenile myoclonic epilepsy. It is caused by a deletion in DIRAS1 and is inherited in an autosomal recessive manner with complete penetrance.
Inheritance patternAutosomal recessive
Gene / MutationDIRAS1 c.564_567delAGAC (4-bp deletion in exon 2; g.56474668_56474671del, CanFam3.1) with frameshift, p.(D189Afs*11). Causal variant confirmed in the Rhodesian ridgeback (OMIA:002095-9615).
PenetranceComplete penetrance according to Wielaender et al. (2017): homozygotes develop myoclonic jerks. Expressivity is variable; photosensitivity and progression to generalized tonic-clonic seizures do not occur in all animals.
Codezbif
Turnaround time10 days
Price52,60 €

Incidence

Affected breed: Rhodesian ridgeback. Limited data on the exact frequency of carriers and cases.

Breeder management

- Test breeders before mating\n- Do not cross two carriers: 25 % of the litter would be affected homozygotes\n- A carrier may be crossed with a clear dog; offspring intended for breeding must be tested\n- Do not breed affected animals\n- Avoid crossing lines with a history of JME and record seizures in the pedigree

Specialist notes

Differential diagnosis with other generalized epilepsies and with toxic/metabolic myoclonus. The EEG may show generalized discharges with a photosensitive response. Management with antiepileptic drugs (levetiracetam, valproic acid) and control of light triggers.

References

1. Wielaender F et al. 2017. Generalized myoclonic epilepsy with photosensitivity in juvenile dogs caused by a defective DIRAS family GTPase 1. Proceedings of the National Academy of Sciences USA. PMID: 28223533
2. Wielaender F et al. 2018. Absence Seizures as a Feature of Juvenile Myoclonic Epilepsy in Rhodesian Ridgeback Dogs. Journal of Veterinary Internal Medicine. PMID: 29194766
3. OMIA:002095-9615. Epilepsy, generalized myoclonic, with photosensitivity. Online Mendelian Inheritance in Animals.

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