Preferred Label : Hyperekplexia 1;
Symbol : HKPX1;
CISMeF acronym : HKPX1; STHE;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Stiff-man syndrome, congenital; Startle reaction, exaggerated; Exaggerated startle reaction; Kok disease; Stiff-baby syndrome; STHE; Startle disease, familial; Stiff-person syndrome, congenital;
Description : Hyperekplexia is an early-onset neurologic disorder characterized by an exaggerated
startle response to sudden, unexpected auditory or tactile stimuli. Affected individuals
have brief episodes of intense, generalized hypertonia in response to stimulation.
Neonates may have prolonged periods of rigidity and are at risk for sudden death from
apnea or aspiration. Many affected infants have inguinal hernias. The symptoms tend
to resolve after infancy, but adults may have increased startle-induced falls and/or
experience nocturnal muscle jerks (summary by Ryan et al., 1992). - Genetic Heterogeneity
of Hyperekplexia See also HKPX2 (614619), caused by mutation in the GLRB gene (138492)
on chromosome 4q31, and HKPX3 (614618), caused by mutation in the GLYT2 gene (SLC6A5;
604159) on chromosome 11p15. Hyperekplexia can also occur in early infantile epileptic
encephalopathy-8 (EIEE8; 3006706), caused by mutation in the ARHGEF9 gene (300429).
See also sporadic stiff-man syndrome (184850) and the 'Jumping Frenchmen of Maine'
(244100).;
Inheritance : Autosomal dominant; Autosomal recessive;
Molecular basis : Caused by mutation in the alpha-1 subunit of the glycine receptor gene (GLRA1, 138491.0001);
Prefixed ID : #149400;
Origin ID : 149400;
UMLS CUI : C4551954;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)