Hyperekplexia: differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hyperekplexia: differential diagnosis. This is caused by mutations in the CRLF1 gene. Fully referenced neurology checklist.

Crisponi syndrome

  • This is caused by mutations in the CRLF1 gene
  • It presents with paroxysmal muscle contractions
  • Subjects have a dysmorphic appearance: large face, broad nose, and anteverted nares
  • There is associated camptodactyly and hyperthermia
  • There may be sudden death 

Startle syndromes

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References

  1. Crisponi L, Crisponi G, Meloni A, et al. Crisponi syndrome is caused by mutations in the CRLF1 gene and is allelic to cold-induced sweating syndrome type 1. Am J Hum Genet 2007; 80:971-981.
  2. Bakker MJ, van Dijk JG, Pramono A, Sutarni S, Tijssen MA. Latah: an Indonesian startle syndrome. Mov Disord 2013; 28:370-379. 
  3. Saint-Hilaire M. Jumping Frenchmen of Maine. Neurology 1986; 36:1269-1271.
  4. Demir N, Doğan M, Yılmaz S, Peker E, Bulan K, Tuncer O. A confusing coincidence: neonatal hypoglycaemic seizures and hyperekplexia. Case Rep Med 2014; 2014:595412.

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