Juvenile Myoclonic Epilepsy: Factors of Error Involved in the Diagnosis and Treatment

摘要: Juvenile myoclonic epilepsy (JME), a common form of idiopathic generalized epilepsy, has distinct clinical and electroencephalographic profile. Often JME is not recognized, with serious consequences on the sufferers. We examined factors contributing to missed diagnosis even in an clinic. Of 70 patients, 66 (91.4%) were diagnosed referral 22 (33%) initially recognized The correct was established after mean 8.3 +/- 5.5 years from disease onset interval 17.7 10.4 months first evaluation Myoclonic jerks, hallmark disease, usually reported by patients. Similarly, relevant questioning may be included history. Absence seizures antedating jerks many years, as unilateral, tonic-clonic occurring during sleep focal EEG abnormalities are other recognizing JME. Our study reemphasizes need have only seizure but also epilepsy-disease diagnosis.