A case of non-dystrophic myotonia with mutations in CLCN1 and SCN4A is presented.
The proband's mother, who showed myotonia, had an E950K mutation in CLCN1.
The proband showed atypical paralytic attacks of long duration.
Functional analysis of the mutant sodium channel revealed enhanced activation.
Additive effects of CLCN1 and SCN4A mutations may cause the atypical phenotype.