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- W1545693485 abstract "Introduction: Juvenile Myoclonic Epilepsy (JME) is a frequent type of generalized seizures which is often associated with Generalized Tonic Clonic Seizure (GTCS) and absence attacks. Methods: Consecutive patients with probable diagnosis of seizure referred to Vali-eAsr and Emam Reza hospitals in southern Khorasan during March 2005May 2007 were evaluated. Diagnosis of epilepsy and JME was made by neurologists based on the manifestations, history and EEG findings. Patients who had structural brain lesion were excluded. Results: 396 epileptic patients including, 32 JME cases (8.1%; 18 males, 14 females) were investigated. Mean age of JME onset and age at the time of diagnosis was 12.4 years and 14.2 years respectively. 27 patients with JME had GTCS and 7 patients had absence epilepsy .Triad of Myoclonia, GTCS and absence was seen in only 4 cases and 2 cases had pure Myoclonia. Myoclonia was predominantly unilateral or at least unilateral at onset in 8 patients (25%). In 28 cases (87.5%) most of attacks occurred on awakening. Sleep deprivation was the most important precipitating factor which was found in 26 cases (81.3%). Characteristic epileptic pattern was found in 71.9% of cases with JME in the first EEG which was promoted to 94% with repeating the EEG. A positive familial history for epilepsy was seen in 25%. Conclusion: JME is a frequent subtype of generalized epilepsies which is often associated with GTCS and absence. JME patients usually have epileptic pattern in EEG. Keywords; Juvenile, Myoclonic, Epilepsy, Seizure ________________________________________________________________________________ 1 MD, Assistant professor of Neurology–Birjand University of Medical Sciences 2 Ph.D, Assistant Professor of Anatomical Sciences, Birjand University of Medical Sciences. 3 MD, Internal Medicine, Birjand University of Medical Sciences. 4 MD, Resident of Internal Medicine, Baghiatollah University of Medical Science, Tehran. 5 MD, Pediatrist, Vali-e-Asr Hospital Birjand UMS." @default.
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- W1545693485 date "2008-01-01" @default.
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- W1545693485 title "CLINICAL EVALUATION OF 32 PATIENTS WITH JUVENILE MYOCLONIC EPILEPSY IN SOUTHERN KHORASAN" @default.
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