Mitochondrial polymerase gamma (POLG): clinical features

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

Mitochondrial polymerase gamma (POLG): clinical features. Myoclonic epilepsy, Focal motor or visual seizures. Fully referenced neurology checklist.

Epilepsy: types

  • Myoclonic epilepsy
  • Focal motor or visual seizures
  • Secondarily generalised seizures
  • Refractory occipital lobe epilepsy (OLE)
  • Late-onset epileptic encephalopathy
  • Epilepsia partialis continua (EPC)
  • Refractory status epilepticus (RSE)
  • Fever related super-refractory status epilepticus (FIRES)

Other phenotypes

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Clinical features

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References

  1. Janssen W, Quaegebeur A, Van Goethem G, et al. The spectrum of epilepsy caused by POLG mutations. Acta Neurol Belg 2016; 116:17-25. 
  2. Hammans S. Mitochondrial disease: old and new. ACNR 2008; 7:12-16.
  3. Engelsen BA, Tzoulis C, Karlsen B, et al. POLG1 mutations cause a syndromic epilepsy with occipital lobe predilection. Brain 2008; 131:818-828. 
  4. Lemus HN, Pyburn D, Youn C, et al. Teaching NeuroImage: human polymerase gamma gene (POLG) disorder presenting as refractory status epilepticus. Neurology 2021; 97:e747-e748.
  5. Menon D, Marasakatla S, Holla VV, Kamble N, M N, Pal PK. Fever related super-refractory status epilepticus: An adulthood presentation of a novel POLG variant: a case report. Seizure 2022; 99:24-26.
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