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Living with Progressive myoclonic epilepsy type 9

A rare genetic brain condition with seizures, muscle jerks, and balance problems that begin in childhood.

Understanding Progressive myoclonic epilepsy type 9

Progressive myoclonic epilepsy type 9 is a rare genetic neurological disorder caused by changes in the LMNB2 gene.

It starts in childhood with severe seizures, including myoclonic and tonic-clonic seizures. Early balance and coordination problems (ataxia) cause serious difficulty walking. Thinking skills are normal or only slightly reduced. Scoliosis, muscle wasting, and developmental delay may also occur. Brain MRI may show differences in brain structure.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Sudden muscle jerks (myoclonus)
  • Tonic-clonic (grand mal) seizures
  • Poor balance and coordination when walking (gait ataxia)
  • Frequent falls
  • Muscle wasting throughout the body
  • Scoliosis

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in LMNB2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Epilepsy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing for the LMNB2 gene help our family?
How can seizures and muscle jerks be controlled?
What can help with walking, falls, and scoliosis?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesLMNB2

This condition is caused by changes in the LMNB2 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: epilepsy, progressive myoclonic, type 9; epm9; lmnb2 progressive myoclonic epilepsy; pme (progressive myoclonic epilepsy) type 9; pme type 9; progressive myoclonic epilepsy caused by mutation in lmnb2

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Progressive myoclonic epilepsy type 9GARD ID 17801 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Progressive myoclonic epilepsy type 9.

Explore the Progressive myoclonic epilepsy type 9 blog

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