Epileptic Disorders
MENUThe electroclinical features of idiopathic generalized epilepsy patients presenting with fixation-off sensitivity Volume 20, issue 6, December 2018
Patient 8 is a 24-year-old female. She experiences a prolonged episode of mild eyelid myoclonic status and myoclonic seizures involving the arms, persisting with eyes closed (lasting for more than 12 hours and leading to insomnia over the entire night), which later proceeds to an M-GTCS; she is unable to recite a sequence of numbers.
> DownloadPatient 1 is a 10-year-old boy reciting a sequence of ascending numbers. He could finish the task without hesitation and correctly with eyes open. However, with eyes closed, his performance shows a transitory impairment and he recites incorrect numbers with a clearly slow reaction (with a transient pause and reduced fluency).
Patient 1 is a 10-year-old boy reciting a sequence of ascending numbers. He hesitates after reciting the number eight and 10, and follows the number 29 with the number 21. However, he is able to continue reciting the remaining sequence of numbers correctly. Note that the duration of the responsible generalized spike-wave discharge (GSWD) is less than two seconds.
Patient 2 is an 18-year-old university student reciting a sequence of numbers in descending order.He hesitates when reciting the numbers 145, 142 and 140, and there is a long pause between the number 140 and 141. He follows the number 135 with the number 133 and pauses for a while, then repeats the number 133 again. However, he was able to continue reciting the remaining sequence of numbers correctly.