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Title
Myoclonic absence seizures with complex gestural automatisms.
Publication Date
2018-05
Author(s)
Myers, Kenneth A
Scheffer, Ingrid E
Subject
Automatisms
Genetic generalized epilepsy
Myoclonic absence epilepsy
Myoclonic absence seizures
Type of document
Journal Article
OrcId
0000-0002-2311-2174
0000-0001-7831-4593
DOI
10.1016/j.ejpn.2017.12.003
Abstract
Epilepsy with myoclonic absences is a rare generalized epilepsy syndrome with distinctive seizures. Two unrelated children had mild developmental impairment and onset of myoclonic-absences at 3 and 8 years. Seizures were characterized by bilateral 3 Hz myoclonic jerks superimposed on tonic abduction of the upper limbs. Events lasted 10-60 s, and complex gestural automatisms were often observed; in one case, a boy undid his seatbelt and attempted to exit a moving vehicle. Post-ictally, both children immediately regained awareness without recollection of their actions. Ictal EEGs showed 3 Hz generalized spike-wave. Complex automatisms have not been described in myoclonic absence seizures. This generalized seizure type can be confused with focal seizures when these ictal behaviours occur.
Link
Citation
European journal of paediatric neurology : EJPN 2018; 22(3): 532-535
Jornal Title
European journal of paediatric neurology : EJPN

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