“…18 On postmortem examination, a variety of changes have been described in skeletal muscle, such as enlargement and proliferation of the sarcoplasmic reticulum, but these are likely to be secondary to excessive muscle contractions. 14,15,19 Recently, this dramatic condition has been linked to a deletion in the gene BCAN 18,19 that encodes a protein called brevican. This protein is a component of the extracellular matrix proteoglycan complex and is found at high levels in the central nervous system as part of the perineuronal network.…”