Eye closure sensitivity in juvenile myoclonic epilepsy and its effect on prognosis

Abstract Purpose To investigate eye closure sensitivity (ECS) in the EEGs of patients diagnosed with juvenile myoclonic epilepsy (JME) and its relationship to prognosis. Methods We included 76 JME patients with a minimum follow-up of one year and evaluated a total of 254 EEGs to obtain evidence of E...

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Veröffentlicht in:Seizure (London, England) England), 2013-12, Vol.22 (10), p.867-871
Hauptverfasser: Tekin Güveli, Betül, Baykan, Betül, Dörtcan, Nimet, Bebek, Nerses, Gürses, Candan, Gökyiğit, Ayşen
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container_issue 10
container_start_page 867
container_title Seizure (London, England)
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creator Tekin Güveli, Betül
Baykan, Betül
Dörtcan, Nimet
Bebek, Nerses
Gürses, Candan
Gökyiğit, Ayşen
description Abstract Purpose To investigate eye closure sensitivity (ECS) in the EEGs of patients diagnosed with juvenile myoclonic epilepsy (JME) and its relationship to prognosis. Methods We included 76 JME patients with a minimum follow-up of one year and evaluated a total of 254 EEGs to obtain evidence of ECS. The patients were grouped according to their response to treatment, and these subgroups were compared in relation to ECS and other clinical and EEG features. Results There were 12 patients (15.8%) with poor prognosis who showed resistance to appropriate anti-epileptic drug treatment, 15 (19.7%) patients with pseudo-resistance, and 49 (64.5%) patients with good prognosis. The EEGs of only four of the patients displayed pure ECS (5.3%), and only one of these exhibited poor prognosis. Furthermore, 11 patients (14.5%) had both ECS and photosensitivity, and two of these patients exhibited poor prognosis. Thus, neither pure ECS nor ECS with photosensitivity correlated with poor prognosis. A family history of epilepsy and focal findings on the EEG was correlated with poorer prognosis. Conclusions ECS is a rare EEG finding in JME and does not appear to be a marker for poor prognosis.
doi_str_mv 10.1016/j.seizure.2013.07.008
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Methods We included 76 JME patients with a minimum follow-up of one year and evaluated a total of 254 EEGs to obtain evidence of ECS. The patients were grouped according to their response to treatment, and these subgroups were compared in relation to ECS and other clinical and EEG features. Results There were 12 patients (15.8%) with poor prognosis who showed resistance to appropriate anti-epileptic drug treatment, 15 (19.7%) patients with pseudo-resistance, and 49 (64.5%) patients with good prognosis. The EEGs of only four of the patients displayed pure ECS (5.3%), and only one of these exhibited poor prognosis. Furthermore, 11 patients (14.5%) had both ECS and photosensitivity, and two of these patients exhibited poor prognosis. Thus, neither pure ECS nor ECS with photosensitivity correlated with poor prognosis. A family history of epilepsy and focal findings on the EEG was correlated with poorer prognosis. Conclusions ECS is a rare EEG finding in JME and does not appear to be a marker for poor prognosis.</description><identifier>ISSN: 1059-1311</identifier><identifier>EISSN: 1532-2688</identifier><identifier>DOI: 10.1016/j.seizure.2013.07.008</identifier><identifier>PMID: 23962522</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Anticonvulsants - therapeutic use ; Blinking - physiology ; Brain - physiopathology ; Child ; EEG ; Electroencephalography ; Eye closure sensitivity ; Female ; Humans ; Juvenile myoclonic epilepsy ; Male ; Myoclonic Epilepsy, Juvenile - diagnosis ; Myoclonic Epilepsy, Juvenile - drug therapy ; Myoclonic Epilepsy, Juvenile - physiopathology ; Neurology ; Prognosis ; Theraphy</subject><ispartof>Seizure (London, England), 2013-12, Vol.22 (10), p.867-871</ispartof><rights>British Epilepsy Association</rights><rights>2013 British Epilepsy Association</rights><rights>Copyright © 2013 British Epilepsy Association. Published by Elsevier Ltd. 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Methods We included 76 JME patients with a minimum follow-up of one year and evaluated a total of 254 EEGs to obtain evidence of ECS. The patients were grouped according to their response to treatment, and these subgroups were compared in relation to ECS and other clinical and EEG features. Results There were 12 patients (15.8%) with poor prognosis who showed resistance to appropriate anti-epileptic drug treatment, 15 (19.7%) patients with pseudo-resistance, and 49 (64.5%) patients with good prognosis. The EEGs of only four of the patients displayed pure ECS (5.3%), and only one of these exhibited poor prognosis. Furthermore, 11 patients (14.5%) had both ECS and photosensitivity, and two of these patients exhibited poor prognosis. Thus, neither pure ECS nor ECS with photosensitivity correlated with poor prognosis. A family history of epilepsy and focal findings on the EEG was correlated with poorer prognosis. 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Methods We included 76 JME patients with a minimum follow-up of one year and evaluated a total of 254 EEGs to obtain evidence of ECS. The patients were grouped according to their response to treatment, and these subgroups were compared in relation to ECS and other clinical and EEG features. Results There were 12 patients (15.8%) with poor prognosis who showed resistance to appropriate anti-epileptic drug treatment, 15 (19.7%) patients with pseudo-resistance, and 49 (64.5%) patients with good prognosis. The EEGs of only four of the patients displayed pure ECS (5.3%), and only one of these exhibited poor prognosis. Furthermore, 11 patients (14.5%) had both ECS and photosensitivity, and two of these patients exhibited poor prognosis. Thus, neither pure ECS nor ECS with photosensitivity correlated with poor prognosis. A family history of epilepsy and focal findings on the EEG was correlated with poorer prognosis. 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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Anticonvulsants - therapeutic use
Blinking - physiology
Brain - physiopathology
Child
EEG
Electroencephalography
Eye closure sensitivity
Female
Humans
Juvenile myoclonic epilepsy
Male
Myoclonic Epilepsy, Juvenile - diagnosis
Myoclonic Epilepsy, Juvenile - drug therapy
Myoclonic Epilepsy, Juvenile - physiopathology
Neurology
Prognosis
Theraphy
title Eye closure sensitivity in juvenile myoclonic epilepsy and its effect on prognosis
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