Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Features include very common findings: Myopia, Nyctalopia, Reduced visual acuity, and Abnormal dark-adapted electroretinogram; and common findings: Strabismus, Nystagmus, Congenital stationary night blindness with normal fundus, and Congenital stationary night blindness with abnormal fundus. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 7 | Strabismus, Nystagmus, Congenital stationary night blindness with normal fundus |
The International League Against Epilepsy (ILAE) has proposed diagnostic criteria for sleep-related hypermotor (hyperkinetic) epilepsy (SHE) , which consist of three groups of criteria. Mandatory feature. Brief focal motor seizure with hyperkinetic or asymmetric tonic/dystonic features occurring predominantly during sleep Alerts. Features that are absent in most cases but rarely can be seen. Their presence should result in caution in diagnosing the syndrome and consideration of other conditions. They include the following:
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
No approved treatments are currently available for congenital stationary night blindness. The disease remains an area of unmet medical need.
No clinical practice guidelines regarding the management for autosomal dominant sleep-related hypermotor (hyperkinetic) epilepsy (ADSHE) have been published. Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with ADSHE, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 5. Recommended Evaluations Following Initial Diagnosis in Individuals with Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 7. Recommended Surveillance for Individuals with Autosomal Dominant Sleep-related Hypermotor Epilepsy (ADSHE)
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
76 publications have been identified in PubMed for congenital stationary night blindness. Research spans Basic Science / Preclinical (30%), Case Report / Case Series (26%), and Epidemiology / Natural History (17%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 23 | 30% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 12:35 AM UTC
European rare disease database
Pregnancy and birth | 2 | Congenital stationary night blindness with normal fundus, Congenital stationary night blindness with abnormal fundus |
Bones and joints | 1 | Compensatory head posture |
Age of onset: childhood, adulthood.
Autosomal dominant sleep-related hypermotor (hyperkinetic) epilepsy (ADSHE) is characterized by clusters of nocturnal motor seizures with a range of manifestations.
Table 2.
Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy: Frequency of Select Features
Feature | % of Persons w/Feature | Comment
Sleep-related seizures | 100% | • Focal motor seizures w/vigorous hyperkinetic or asymmetric tonic/dystonic features1
May occur at any stage during sleep, but typically cluster in non-REM sleep
Some persons experience daytime seizures.
EEG abnormalities | • 10%-50% while awake1,2
50% during sleep1,2
| • Interictal epileptiform abnormalities over the frontal areas during sleep.
Ictal EEG may show evolving sharp- or spike-and-wave, rhythmic slow activity, or diffuse flattening.
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
The differential diagnosis of autosomal dominant sleep-related hypermotor (hyperkinetic) epilepsy (ADSHE) includes autosomal recessive SHE caused by biallelic pathogenic variants in PRIMA1 (reported in only one family to date ) and other conditions of varied etiology, including the following:
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
Biomarker and diagnostic research for congenital stationary night blindness has been reported in the published literature.
System/Concern | Evaluation | Comment |
|---|---|---|
Neurologic | Assessment by neurologist w/eval of suspected seizures as indicated | To incl EEG high-resolution brain MRI to evaluate for focal brain malformations, if suspected based on seizure semiology |
Development | Assessment by developmental specialist | To incl motor, adaptive, cognitive, speech-language eval; Eval for early intervention/ special education |
Psychiatric | Assessment by psychiatrist | For any psychiatric comorbidities or complications |
Genetic counseling | By genetics professionals1 | To obtain a pedigree inform affected persons their families re nature, MOI, implications of ADSHE to facilitate medical personal decision making Family support resources |
Treatment of Manifestations in Individuals with Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy Manifestation/Concern | Treatment | Considerations/Other |
Epilepsy | Standardized treatment w/ASM by epileptologist or experienced neurologist | Many ASM may be effective; In about 70% of persons w/ADSHE, carbamazepine is assoc w/remission of seizures, often w/relatively low doses. However, persons w/ADSHE assoc w/CHRNA4 pathogenic variant respond only partially to carbamazepine are more responsive to zonisamide. |
Developmental delay/ Intellectual disability | See . | — |
Psychiatric issues | Standardized treatment by psychiatrist | Family/Community |
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
1 trial found
System/Concern
Evaluation |
|---|
Frequency |
|---|
Development | Monitor developmental progress educational needs. | If applicable Eval by developmental pediatrician or developmental specialist |
Psychiatric | Eval by psychiatrist for any psychiatric comorbidities | If applicable |
Family/Community | Assess family need for social work support (e.g., palliative/respite care, other local resources), care coordination, or follow-up genetic counseling if new questions arise (e.g., family planning). | At each visit |
Source: GeneReviews — "Autosomal Dominant Sleep-Related Hypermotor (Hyperkinetic) Epilepsy"
Phenotype severity distribution: 4 very common features, 4 common features.
Estimated prevalence: Unknown (Unknown prevalence).
Patient case studies | 20 | 26% |
Disease patterns and progression | 13 | 17% |
Research summaries | 11 | 14% |
Testing and diagnosis research | 4 | 5% |
New treatment approaches | 4 | 5% |
Clinical study results | 1 | 1% |
Xu X (2026). [PMID: 42186038](https://pubmed.ncbi.nlm.nih.gov/42186038/). *BMC Ophthalmol*. [Basic Science / Preclinical]
Boranijasevic S (2026). [PMID: 41343198](https://pubmed.ncbi.nlm.nih.gov/41343198/). *JAMA ophthalmology*. [Case Report / Case Series]
Mahroo OA (2026). [PMID: 41343185](https://pubmed.ncbi.nlm.nih.gov/41343185/). *JAMA ophthalmology*. [Case Report / Case Series]
Lee SY (2026). [PMID: 41803130](https://pubmed.ncbi.nlm.nih.gov/41803130/). *Nature communications*. [Case Report / Case Series]
Hartmann S (2026). [PMID: 41702557](https://pubmed.ncbi.nlm.nih.gov/41702557/). *Klinische Monatsblatter fur Augenheilkunde*. [Clinical Trial Publication]
Sharma M (2026). [PMID: 41757028](https://pubmed.ncbi.nlm.nih.gov/41757028/). *bioRxiv : the preprint server for biology*. [Epidemiology / Natural History]
Fabrizio M (2026). [PMID: 41857038](https://pubmed.ncbi.nlm.nih.gov/41857038/). *Nature communications*. [Basic Science / Preclinical]
Spanic F (2026). [PMID: 41729106](https://pubmed.ncbi.nlm.nih.gov/41729106/). *Acta ophthalmologica*. [Gene Therapy / Novel Therapeutics]
Ramon E (2026). [PMID: 41775964](https://pubmed.ncbi.nlm.nih.gov/41775964/). *Communications biology*. [Basic Science / Preclinical]
Kuszel L (2026). [PMID: 42278384](https://pubmed.ncbi.nlm.nih.gov/42278384/). *Int J Mol Sci*. [Epidemiology / Natural History]