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Familial Dyskinesia with Facial Myokymia (FDFM) is a rare autosomal dominant movement disorder characterized by involuntary tremors in the limbs and facial muscles with a wide range in severity of symptoms. Mutations in a gene highly expressed in the striatum, the adenylate cyclase 5 gene (ADCY5), have been linked to FDFM with the most severe phenotype associated with a gain of function mutation linked to elevated cAMP levels at amino acid 418 (arginine to tryptophan).



