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Articles for Doctors
Mioclónicas
epilepsies
NOTE: Translated
using software of
translation of
Spanish to English
ABSTRACT: Objective: To analyze the frequency of myoclonic epilepsies (ME)
according to the classification of the International League Epilepsy (ILAF) and workshop
of the Comission on Pediatric Epilepsy (Royaumont-France 1997), considering the
possibility to include or modifi myoclonic epileptic syndromes. Patients and
Methods:Clinic histories of 113 patients (56 men and 57 women) with diagnostic of ME
evaluated between January 1993 and July 1998 were reviewed. Early epileptic
encephalopathy, progressive and photosensitive epilepsies, as well as other epilepsies
presenting with myoclonic seizures during their evolutive course, were excluded. Results:
We recognized the following syndromes: a) Idiophatic: 1) Bening ME of Infancy, 10 cases
(8.8%), 2) Reflex ME of Infancy, 2 cases (1.8%), 3) Eyelid myoclinia with absence (EMA), 3
cases (2.6%), and 4) Juvenile ME, 29 cases (25.6%); b) Cryptogenic: 1) Myoclonic-Astatic
Epilepsy (MAE) of favorable course, 21 cases (18.5%) and unfavorable course, 10 cases
(8.8%), 2) Severe ME of infancy, 25 cases (22.1%), and 3) Myoclonic absence epilepsy, 2
cases (1.8%); and c) Symptomatic: 1) MAE, 2 cases (1.8%), 2) Severe ME of Infancy, 2 cases
(1.8%), 3) Myoclonic Status in non-progressive encephalopathies (MSnPE), 4 cases (3.5%),
and 4) others, 3 cases (2.6%). Conclusion: Cryptogenic (51.3%) and idiopathic (38.9%)
seizures were the most common types of ME in our study. In the idiopathic group, the most
frequent syndrome was juvenile ME, while in the cryptogenic group, was the
Myoclonic-Astatic epilepsy. We consider that EMA should be included in the new
classification of epilepsies as an idiopathic syndrome. We also suggest that Reflex ME of
Infancy should be discussed as a new syndrome of ME or as a variant of benign ME of
Infancy. Finally, whether MsnPE is a new syndrome or a peculiar evolution of symptomatic
epilepsies needs further discussion.
Author:
Ecuadorian
magazine of neurology
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