Epilepsia Open. 2018 May 17;3(2):295-298. doi: 10.1002/epi4.12224. eCollection 2018 Jun.
Epilepsia open
Danielle Goldsmith, Berge A Minassian
PMID: 29881811 PMCID: PMC5983108 DOI: 10.1002/epi4.12224
Lafora disease (LD) clinically appears in previously healthy teenagers as progressively worsening seizures, myoclonus, dementia, and ultimately a vegetative state leading to death within a decade of its onset. Here we present a typical case of LD in which the patient survived until the age of 40. Although the patient's brain was severely affected, other organs remained functional until her death. The field of LD research is approaching potentially curative therapies (eg, with antisense oligonucleotides or gene replacement) targeting only the central nervous system (CNS). Our case provides anecdotal evidence suggesting that a patient with typical LD can retain full bodily health aside from the effects of neurological damage.
Keywords: Adult polyglucosan disease; Epilepsy; Gene therapy; Lafora disease