" /> Fatal familial insomnia - CISMeF





Preferred Label : Fatal familial insomnia;

Symbol : FFI;

CISMeF acronym : FFI;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Insomnia, fatal familial;

Description : Fatal familial insomnia is a prion disorder showing autosomal dominant inheritance. It is clinically characterized by insomnia with or without a diurnal dreaming state, hallucinations, delirium, and dysautonomia preceding motor and cognitive deterioration. FFI is specifically associated with the asp178-to-asn mutation of the PRNP gene (D178N; 176640.0010) when the amino acid at position 129 is methionine (M129V; 176640.0005). The D178N mutation and the val129 allele results in Creutzfeldt-Jacob disease (CJD; 123400) (see 176640.0007) (Goldfarb et al., 1992). CJD typically presents with dementia, ataxia, myoclonus, and other abnormal movements; however, there is considerable clinical and pathologic overlap between FFI and CJD, and some individuals with D178N and met129 may present with a phenotype suggestive of CJD. Thus, FFI and CJD may be viewed as extremes of a phenotypic spectrum (summary by Zarranz et al., 2005).;

Inheritance : Autosomal dominant;

Molecular basis : Caused by mutation in the prion protein gene (PRNP, 176640.0010);

Prefixed ID : #600072;

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05/05/2025


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