期刊名称:Nascer e Crescer - Revista do Hospital de Crianças Maria Pia
印刷版ISSN:0872-0754
出版年度:2010
卷号:19
期号:3
页码:171-173
出版社:Hospital de Crianças Maria Pia - Centro Hospitalar do Porto
摘要:Introduction. Eyelid myoclonia with or without absences may occur in several epileptic conditions, and they are frequently misinterpreted as movement disorders. Case report. A seven-year-old boy was admitted for evaluation of eye blinking that started at age of six. He had never had generalized tonic-clonic or absence seizures. Video-EEG monitoring revealed 3-5 Hz irregular occipital or generalized polyspike and polyspike-wave complexes, precipitated by eye closure. They were accompanied by eye-lid myoclonia. Photic stimulation induced photoparoxysmal response. Brain MRI was normal. He was initially treated with clobazam and then levetiracetam with no response. Valproate was added with control of the symptoms. Conclusion. Eyelid myoclonia without absences are often difficult to classify. Video-EEG may help to clarify these cases.
其他摘要:Introduction. Eyelid myoclonia with or without absences may occur in several epileptic conditions, and they are frequently misinterpreted as movement disorders. Case report. A seven-year-old boy was admitted for evaluation of eye blinking that started at age of six. He had never had generalized tonic-clonic or absence seizures. Video-EEG monitoring revealed 3-5 Hz irregular occipital or generalized polyspike and polyspike-wave complexes, precipitated by eye closure. They were accompanied by eye-lid myoclonia. Photic stimulation induced photoparoxysmal response. Brain MRI was normal. He was initially treated with clobazam and then levetiracetam with no response. Valproate was added with control of the symptoms. Conclusion. Eyelid myoclonia without absences are often difficult to classify. Video-EEG may help to clarify these cases.
关键词:Mioclonias palpebrais;mioclonias palpebrais com ausências;epilepsias fotossensíveis;doenças do movimento
其他关键词:eyelid myoclonia;eyelid myoclonia with absences;photosensitive epilepsy;movement disorders