41 patients (19 sporadic and 22 familial) affected by autosomal dominant no
cturnal frontal lobe epilepsy (ADNFLE) were analyzed for the presence of tw
o mutations (Ser252Phe, 776ins3) in the CHRNA4 gene, reported to be associa
ted with this disease. Electroclinical findings of sporadic forms were indi
stinguishable from familial ones. In none of the patients, these mutations
were found by dot blot analysis with allele specific oligonucleotides. Thes
e data, obtained on the largest group so far studied, suggest the rarity of
the reported mutations.