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Caso electroencefalográfico: mioclonias palpebrais
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Resumo(s)
ABSTRACT Introduction. Eyelid myoclonia
with or without absences may occur in
several epileptic conditions, and they are
frequently misinterpreted as movement
disorders.
Case report. A seven-year-old boy
was admitted for evaluation of eye blinking
that started at age of six. He had never
had generalized tonic-clonic or absence
seizures. Video-EEG monitoring revealed
3-5 Hz irregular occipital or generalized
polyspike and polyspike-wave complexes,
precipitated by eye closure. They were accompanied
by eye-lid myoclonia. Photic
stimulation induced photoparoxysmal response.
Brain MRI was normal. He was
initially treated with clobazam and then
levetiracetam with no response. Valproate
was added with control of the symptoms.
Conclusion. Eyelid myoclonia without
absences are often difficult to classify.
Video-EEG may help to clarify these
cases.
Descrição
Palavras-chave
Eyelid myoclonia eyelid myoclonia with absences photosensitive epilepsy movement disorders
Contexto Educativo
Citação
Nascer e Crescer 2010; 19(3): 171-173