Genetic studies were performed in four German families with autosomal domin
ant myoclonus-dystonia syndrome. Mutations in the D2 dopamine receptor gene
, which have been implicated in this disorder, were excluded in all four fa
milies by linkage analysis and direct sequencing. All four families support
ed linkage to the second reported locus on chromosome 7q21 with a combined
maximum multipoint lod score of 5.99. The observation of key recombinations
in one family refined the disease locus to a 7.2 cM region flanked by the
markers D7S652 and D7S2480.