We describe a patient with progressive myoclonus epilepsy (late-onset
Lafora's disease). Onset was in early adult life, and death was at age
fifty-four. The initial symptoms were epileptic seizures and progress
ive dementia, with later occurrence of myoclonus. Lafora bodies were u
biquitous and in neuronal perikarya in many areas. Dust-like granular
bodies predominated in the neuropil of cerebral cortex, substantia nig
ra, and striatum. Abnormal deposits were also found in the myocardium.