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Myoclonic absence seizures with complex gestural automatisms.

Author
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.

Year of Publication
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2017
Journal
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European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
Date Published
:
2017
ISSN Number
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1090-3798
DOI
:
10.1016/j.ejpn.2017.12.003
Short Title
:
Eur J Paediatr Neurol
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