The ''housekeeping'' sodium/hydrogen exchanger, NHE1, mediates the ele
ctroneutral 1:1 exchange of Na+ and H+ across the plasma membrane. NHE
1 is ubiquitous and is studied extensively for regulation of pH(i), ce
ll volume, and response to growth factors. We describe a spontaneous m
ouse mutant, slow-wave epilepsy, (swe), with a neurological syndrome i
ncluding ataxia and a unique epilepsy phenotype consisting of 3/sec ab
sence and tonic-clonic seizures. swe was fine-mapped on Chromosome 4 a
nd identified as a null allele of Nhe1. Mutants show selective neurona
l death in the cerebellum and brainstem but otherwise are healthy. Thi
s first example of a disease-causing mutation in an Nhe gene provides
a new tool for studying the delicate balance of neuroexcitability and
cell survival within the CNS.