G. H. Sergievsky Center
630 West 168th Street
P & S Box 16
New York, NY 10032
phone: (212) 305-9188
fax : (212) 305-2526

Epilepsy Family Study
of Columbia University

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  Here are some of our findings so far.  
     
   In the close relatives (parents, brothers, sisters, and children) of people with generalized epilepsy, the risk of epilepsy is about four times as high as in the general population, whereas in the close relatives of people with localization-related (partial or focal) epilepsy, the risk is about two times as high as in the general population.

 
   Genetic risk does not play a significant role in causing epilepsy in people with serious brain injuries that occurred after birth (e.g., head injuries, brain tumors, strokes, etc.)

 
   The effect of genetic factors on the risk of epilepsy decreases as people get older. After age 35, there is no definite effect of genetic factors on epilepsy.

 
   In most families, the pattern of risk does not fit any simple genetic model (dominant, recessive, etc.), so it is very difficult to predict which family members will develop epilepsy.

 
   Some genetic mechanisms raise the risk of epilepsy without determining the type of seizures in affected family members.

 
   An unusual form of epilepsy, which we have named "autosomal dominant partial epilepsy with auditory features," is sometimes caused by a gene on chromosome 10 called LGI1. People with this form of epilepsy frequently report changes in their hearing either before their grand mal seizures or as a separate seizure type. These symptoms include hearing sounds such as buzzing, ringing, or humming, distortions such as sounds growing louder or softer, or more rarely, having seizures precipitated by sounds. About half of the families that contain two or more people with these symptoms have a mutation in the LGI1 gene. In the other half of families, the cause has not yet been identified -- so auditory symptoms sometimes occur in people who do not have this genetic form of epilepsy. Also, some of those who inherit a mutation in the LGI1 gene never develop epilepsy at all.

 
   In about two-thirds of families containing more than one person with epilepsy, all of the people with epilepsy have the same type of epilepsy (either generalized epilepsy where seizures begin on both sides of the brain at once, or partial epilepsy where seizures begin in part of the brain). In the remaining one-third of families, some people with epilepsy have generalized epilepsy and others have partial epilepsy. The pattern of results suggests that some genes raise risk for only one of these two types of epilepsy without raising risk for the other. The families with both types of epilepsy might have both types of genes, or alternatively, might have other genes that raise risk for both types of epilepsy.
 
 
What is known about heredity
and epilepsy?
 
Background on Genetics
 
A research story unfolds
 
Discoveries
 
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Unfortunately we cannot
provide any advice regarding
treatment of epilepsy.
The Epilepsy Foundation
may have information to help you.
 
We are funded by the
National Institutes of Health.
 
Please feel free to call or
write to us if you have
any questions about our study.
 
Our toll free number is
1-877-EPI-GENE
 
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