Epidemiology
The only country that Unverricht–Lundborg disease has a reported incidence is in Finland, where it is reported to occur in 4 in 100,000 individuals. However, ULD has only become well defined recently, and it is likely still under diagnosed, so the actual incidence may be different that what is currently known. Other countries with known cases include countries in the Mediterranean region including Italy, France, Tunisia, Algeria, and Morocco, next is Czech Republic  as well as the United States. History
Unverricht–Lundborg disease was first known as one of two different diseases, depending on the location of the individual who had it: Baltic myoclonus or Mediterranean myoclonus. The reason for the different names was partly regional but also because the prognosis of the disease was different for individuals with each due to the way that it was treated in that region. Eventually, both were realized to be the same disease, ULD. Research directions
Many studies have been performed recently to investigate the cause, mechanism, and chemical basis of Unverricht–Lundborg disease. Cystatin B Characteristics
A recent study has attempted to describe the behavior of normal and mutated cystatin B as it is expressed in the body. The results show that cystatin B has a polymeric structure, and that the mutated form of cystatin B, which is present in patients with Unverricht–Lundborg disease, is likely to attract other molecules of cystatin B and form clumps of the molecule. The researchers suggest that this clotting action of the cystatin B molecules may be one of the factors that cause progression of ULD.
Adiposogenital dystrophy is a condition that may be caused by tertiary hypogonadism originating from decreased levels in GnRH. Low levels of GnRH has been associated with defects of the feeding centers of the hypothalamus, leading to an increased consumption of food and thus caloric intake. Presentation
It is characterized by:
Obesity
Growth delays and delayed sexual development, atrophy or hypoplasia of the gonads, and altered secondary sex characteristics,
Headaches
Problems with vision
polyuria, polydipsia.It is usually associated with tumors of the hypothalamus, causing increased appetite and depressed secretion of gonadotropin. It seems to affect males mostly.Many overweight children may appear to have the disorder because of the concurrence of obesity and retarded sexual development; these children have no endocrine disturbances, however, and they mature normally after delayed puberty. Diagnosis
Laboratory analysis of the urine from children with Froehlich syndrome typically reveals low levels of pituitary hormones, and that finding may suggest the presence of a lesion on the pituitary. Additional tests are needed before a definite diagnosis of Froehlich syndrome may be made. Treatment
Pituitary extracts may be administered to replace the missing hormones (hormonal replacement therapy) in patients with Froehlich syndrome. Tumors of the hypothalamus should be surgically removed if possible. Appetite may be very difficult to manage, although weight control depends on this. References


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