PT - JOURNAL ARTICLE AU - Fatima, Hera AU - Shabnam, Shabnam AU - Tripathi, Shalini AU - Kumar, Mala TI - Neonatal hyperekplexia: a non-epileptic paroxysmal movement disorder with a novel homozygous mutation in the GLRB gene, a seizure mimic AID - 10.1136/bcr-2023-257260 DP - 2024 Oct 01 TA - BMJ Case Reports PG - e257260 VI - 17 IP - 10 4099 - http://casereports.bmj.com/content/17/10/e257260.short 4100 - http://casereports.bmj.com/content/17/10/e257260.full SO - BMJ Case Reports2024 Oct 01; 17 AB - A male baby born out of consanguineous marriage (third degree) to a primigravida mother presented to our hospital on day 21 of life as his third hospitalisation with jerky movements, respiratory distress and refusal to feed. The baby had blood culture-positive sepsis, which was treated adequately. He was given antiseizure therapy for jerky movements, but there was no response to multiple antiseizure therapy, and then pyridoxine was added. A significant response was noted with the addition of clonazepam. Neuroimaging and electroencephalogram were normal. The whole exome sequencing suggested a homozygous mutation (frameshift variant c.97delA in exon 2 of the GLRB gene) associated with hyperekplexia 2, resulting in the amino acid substitution p.Lys34fs*27.