
pmid: 25036534
Hyperekplexia is a rare neurogenetic disorder, frequently misdiagnosed in neonates with a risk of apnoea, asphyxia, and sudden infant death. We present video sequences of a male newborn, admitted on the second day of life to the neonatal intensive care unit, due to tonic‐clonic movements. Following clinical and paraclinical investigations, a final diagnosis of hyperekplexia was made. Genetic analysis revealed a homozygous mutation in GLRA1 resulting in a R392H amino acid substitution and altered receptor dynamics, as indicated from previous work. The infant showed a marked improvement of the startle response and muscle hypertonia with clonazepam which is a strong clinical feature of GLRA1‐mediated hyperekplexia. [Published with video sequences]
Male, Reflex, Startle, Receptors, Glycine, Infant, Newborn, Mutation, Missense, Humans, Stiff-Person Syndrome
Male, Reflex, Startle, Receptors, Glycine, Infant, Newborn, Mutation, Missense, Humans, Stiff-Person Syndrome
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