Episodic Ataxia type 1

Genetics:

Autosomal dominant
Kva1.1 KCNA1 chr. 12q13

Clinical features:

Paroxysmal cerebellar ataxia, seconds-minutes
Triggers: exertion, stress, startle
Associated with:

  • Myokymia/neuromyotonia
  • Cramps

Findings on investigations:

Electrophysiology/Pathogenesis:

  • EMG: spontaneous discharges (Myokymia/neuromyotonia)

Treatment:

Acetazolamide or Carbamazepine CBZ

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