Coexistence of Unverricht-Lundborg disease and congenital deafness: Molecular resolution of a complex comorbidity


Address correspondence to Associate Prof. Dragoslav Sokić, Ph.D., Institute of Neurology, CCS, Dr. Subotića 6, 11000 Belgrade, Serbia. E-mail: dsokic@sezampro.yu


Purpose:  We report on genetic analysis of a complex condition in a Serbian family of four siblings, wherein two had progressive myoclonic epilepsy (PME) and congenital deafness (CD), one had isolated congenital deafness (ICD), and one was healthy.

Methods and Results:  Molecular diagnosis performed by Southern blotting confirmed Unverricht-Lundborg disease in the available sibling with PME/CD. In the sibling with ICD (heterozygote for expansion mutation in CSTB) we demonstrated recombination event between the D21S2040 marker and the CSTB gene and identified c.207delC (p.T70Xfs) mutation in the fourth exon of the transmembrane protease, serine-3 (TMPRSS3) gene (maps in close proximity to CSTB), responsible for nonsyndromic deafness in the sibling with PME/CD as well.

Discussion:  To the best of our knowledge this is the first genetic confirmation of the coexistence of these two mutations.