Centre Neurologique William Lennox, Reference Centre for Refractory Epilepsy, Université Catholique de Louvain, Ottignies, Belgium.
Epileptic Disord. 2011 Sep;13(3):308-12. doi: 10.1684/epd.2011.0448.
Perioral myoclonia with absences belongs to the "idiopathic generalised epilepsy syndromes in development", currently not yet cited in the ILAE classification. This epilepsy syndrome is associated with a seizure type that appears to be specific. Here, we report polygraphic recordings of this seizure type in a young boy, previously misdiagnosed with focal epilepsy. EEG and clinical features were useful to differentiate diagnosis of his seizures from other absence or myoclonic seizures. Interestingly, some seizures were associated with neck myoclonia. Home video recording of myoclonic status aggravated by inappropriate treatment is also presented. [Published with video sequences].
口周肌阵挛伴失神属于“发育性特发性全面性癫痫综合征”，目前尚未在 ILAE 分类中引用。这种癫痫综合征与一种似乎具有特异性的发作类型相关。在这里，我们报告了一名年轻男孩的这种发作类型的多导睡眠描记图记录，该男孩先前被误诊为局灶性癫痫。脑电图和临床特征有助于将他的发作与其他失神或肌阵挛发作进行鉴别诊断。有趣的是，一些发作与颈部肌阵挛有关。还呈现了因不适当治疗而加重的肌阵挛状态的家庭视频记录。[附有视频序列]。
