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Focal-onset myoclonic seizures and secondary bilateral synchrony
Tomoyuki Akiyama1, Elizabeth J Donner, Cristina Y Go
1Divisions of Neurology and Neurosurgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada.
Abstract:
We present a child with myoclonic seizures, epileptic spasms and generalized epileptiform discharges on scalp EEG. Magnetoencephalography and coherence-phase analysis for scalp EEG suggested focal onset in the left hemisphere. Intracranial video EEG confirmed seizure onset in the left frontal lobe with ictal high-frequency oscillations. Left frontal lobectomy suppressed his seizures. Subsets of myoclonic seizures can be focal in origin despite bilaterally synchronized epileptiform discharges on scalp EEG.
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