ABSTRACT

The progressive myoclonus epilepsy (PME) syndrome is characterized by:

• a combination of fragmentary or segmental, arrhythmic, asynchronous symmetric or asymmetric myoclonus, and massive myoclonias

• other epileptic seizures, usually generalized tonicclonic or clonic seizures

• abnormal neurologic signs, particularly cerebellar signs

• mental deterioration, which may culminate in dementia. This is a less constant component of the syndrome.1