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Myoclonic epilepsy masquerading as a tic disorder.

Abstract
Myoclonic epilepsies comprise a heterogeneous group of epileptic syndromes characterized by myoclonic jerks, generalized tonic-clonic seizures (GTCSs), and sometimes absence seizures (multiplicity of seizure types). JME (Juvenile Myoclonic Epilepsy) is relatively common and usually responds well to treatment with appropriate anticonvulsants. Others like the progressive myoclonic epilepsy syndromes are relentlessly progressive, associated with cognitive decline and respond poorly to anticonvulsants. Myoclonic epilepsy is frequently misdiagnosed until the patient is specifically asked about the leading symptom, i.e., jerky movements occurring in the morning. We present here a patient who had been misdiagnosed as a tic disorder and treated for the past many years before the correct diagnosis of myoclonic epilepsy was made during an admission for Video-EEG monitoring.
AuthorsN K Sethi, D Labar, J Torgovnick
JournalClinical neurology and neurosurgery (Clin Neurol Neurosurg) Vol. 109 Issue 6 Pg. 509-11 (Jul 2007) ISSN: 0303-8467 [Print] Netherlands
PMID17400368 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Diagnosis, Differential
  • Electroencephalography
  • Epilepsy, Tonic-Clonic (diagnosis)
  • Female
  • Humans
  • Myoclonic Epilepsy, Juvenile (diagnosis)
  • Neurologic Examination
  • Tic Disorders (etiology)
  • Video Recording

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