Epileptic Disorders
MENUEpilepsy with myoclonic absences: a case series highlighting clinical heterogeneity and surgical management Volume 24, numéro 3, June 2022
TEST YOURSELF
(1) Other than pathognomonic myoclonic absence seizures, what other seizure types and comorbidities are seen in EMA?
(2) How can early recognition and diagnosis of EMA guide providers?
(3) Pending further validation, what surgical option may be promising for patients with refractory EMA and a strong atonic component?
Answers
(1) Bilateral tonic-clonic seizures, absence seizures,and atypical absence seizures are other seizure types that may be seen in patients with EMA. The presence of bilateral tonic-clonic seizures is associated with an increased likelihood of cognitive impairment.
(2) Early recognition and diagnosis of EMA can guide providers with regards to choosing optimal anti-seizure medication trials and enabling them to share more insight into the patient’s prognosis.
(3) Corpus callosotomy may be an option to consider in these patients who have been refractory to anti-seizure medications.