Autosomal dominant inheritance with high penetrance.
There are a number of gene mutations associated with this syndrome including mutations in PRRT2 (accounts for >90% of cases), SCN2A, KCNQ2 and KCNQ3. SCN2A mutations also occur in self-limited familial neonatal-infantile epilepsy and KCNQ2 and KCNQ3 mutations also occur in self-limited familial neonatal epilepsy
A family history of neonatal or infantile seizures is present in familial cases.