PMID: 9548228Apr 21, 1998Paper

Misdiagnosis and treatment in juvenile myoclonic epilepsy

Seizure : the Journal of the British Epilepsy Association
D AtakliB Arpaci

Abstract

Of 1300 epileptic patients 76 (5.8%) were found to have juvenile myoclonic epilepsy (JME). These 76 patients were examined at the epilepsy outpatient clinic of Bakirköy State Hospital for Neurological and Psychiatric Diseases between 1991 and 1996 and data obtained were analysed retrospectively. Clinically typical absence seizures were reported in 40.8%, myoclonic jerks in 100%, and generalized tonic-clonic seizures in 82.9% of the patients. Neurological and mental examination was normal for all patients with the exception of three cases; two with essential tremor and one with minimal dysarthria. Precipitating factors were noted in 85.5% of cases. Abnormal EEG was recorded in 73 (6.1%) patients. Abnormalities mainly consisted of generalized discharges of spike/polyspike and slow-wave (86.6%) and generalized paroxysmal theta or delta (9.2%). Fifteen (19.7%) had focal abnormalities and 20 (26.4%) had photoconvulsive discharges. Of the 76 patients, 40 (52.6%) were not diagnosed at the initial interview; definite diagnosis was delayed by a mean of 5.9 years. As a result of misdiagnosis at the initial interview 40 patients had been administered AED except for valproate. After reassessment of clinical and EEG findings, the medication...Continue Reading

References

Jun 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·R A GrünewaldC P Panayiotopoulos
Apr 1, 1989·Annals of Neurology·C P PanayiotopoulosG Waheed
Jan 1, 1989·Epilepsia·J K PenryA R Riela
May 1, 1988·Epilepsia·T Obeid, C P Panayiotopoulos
Sep 1, 1988·Archives of Disease in Childhood·M J Clement, S J Wallace
Feb 1, 1984·Epilepsia·J Asconapé, J K Penry
Jan 1, 1995·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·K Iu MukhinM Iu Nikanorova
Mar 1, 1994·Child: Care, Health and Development·N Gordon
Mar 1, 1994·Epilepsia·C P PanayiotopoulosA R Tahan
Mar 1, 1994·Epilepsia·M E LancmanJ K Penry
Jun 1, 1993·Archives of Neurology·R A Grünewald, C P Panayiotopoulos

❮ Previous
Next ❯

Citations

Mar 21, 2000·Brain & Development·P Genton
Sep 12, 2003·Seizure : the Journal of the British Epilepsy Association·J VijaiK Radhakrishnan
Aug 10, 2012·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Marte Roa SyvertsenKarl O Nakken
Feb 15, 2016·Seizure : the Journal of the British Epilepsy Association·Dilek AtakliHüseyin Sari
Dec 30, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Giorgi JaparidzeSándor Beniczky
Mar 10, 2016·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Eman H EsmailMye A Basheer
Oct 23, 2009·Acta Neurologica Scandinavica·S S JayalakshmiS Sailaja
Dec 15, 2012·Expert Review of Neurotherapeutics·Pasquale Striano, Vincenzo Belcastro
Aug 8, 2008·CNS Neuroscience & Therapeutics·Stéphane Auvin
May 15, 2013·Expert Opinion on Pharmacotherapy·Pasquale Striano, Vincenzo Belcastro
May 10, 2012·Expert Opinion on Pharmacotherapy·Ahmad Beydoun, Joseph D'Souza
Jun 17, 2015·Epilepsy Research and Treatment·Taoufik AlsaadiFatema Al Hammadi
Aug 8, 2001·Seizure : the Journal of the British Epilepsy Association·A K DhanukaD Maheshwari
Aug 8, 2008·Seizure : the Journal of the British Epilepsy Association·Kyung-Il ParkHyunwoo Nam
Jun 16, 2005·Seizure : the Journal of the British Epilepsy Association·Patrícia da Silva SousaElza Márcia T Yacubian
Aug 19, 2007·Seizure : the Journal of the British Epilepsy Association·Deron V SharpeGerald M Fenichel
Mar 20, 2009·Seizure : the Journal of the British Epilepsy Association·Yasemin AkgunBaki Arpaci
Jun 22, 2002·Seizure : the Journal of the British Epilepsy Association·Rainer DziewasPeter Lüdemann
Nov 3, 2010·Seizure : the Journal of the British Epilepsy Association·Mirian S B GuaranhaElza Márcia T Yacubian
Jun 14, 2013·Epilepsy & Behavior : E&B·Betul BaykanPeter R Camfield
Jun 14, 2013·Epilepsy & Behavior : E&B·Anna SerafiniPhilippe Gelisse
Aug 2, 2005·Arquivos de neuro-psiquiatria·Nise Alessandra de Carvalho SousaElza Márcia Targas Yacubian
Sep 15, 2005·Epilepsy Research·Eishi AsanoHarry T Chugani
Mar 18, 2008·Arquivos de neuro-psiquiatria·Isabel Alfradique, Marcio Moacyr Vasconcelos
Jul 28, 2021·Acta Neurologica Scandinavica·Emanuele Cerulli IrelliCarlo Di Bonaventura
Aug 11, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Dong Ah LeeKang Min Park
Nov 19, 2021·Acta Neurologica Scandinavica·Emanuele Cerulli IrelliCarlo Di Bonaventura

❮ Previous
Next ❯

Related Concepts

Related Feeds

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.

Related Papers

Journal of Neurology, Neurosurgery, and Psychiatry
R A GrünewaldC P Panayiotopoulos
Neurology
Antonio V Delgado-Escueta, F Enrile-Bacsal
© 2022 Meta ULC. All rights reserved