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[Benign reflex myoclonic epilepsy in infants]
J C Cuvellier1, M D Lamblin, J M Cuisset
1Service des maladies infectieuses et de neurologie infantiles, centre hospitalier régional et universitaire de Lille, hôpital B, France.
Insights
Myoclonic epilepsy of infancy can present with reflex or spontaneous myoclonic jerks. Early valproate therapy may resolve symptoms, suggesting a potential link to early-onset idiopathic generalized epilepsy.
Area of Science:
- Pediatric Neurology
- Epileptology
Background:
- Myoclonic epilepsy of infancy is rarely benign.
- Infantile myoclonic seizures can manifest spontaneously or as reflex responses.
Background:
Myoclonic epilepsy of infancy are seldom benign.
Case Report:
A 25-month old girl developed myoclonic jerks either spontaneously either as reflex responses to auditory and tactile stimuli, such as sudden touching of the face or trunk from the age of 4 months. The jerks disappeared after valproate therapy. Neurological examination was normal with a follow-up of 9 months.
Conclusion:
This condition resembles that described in 1995 by Ricci et al. In must be differentiated from other myoclonic epilepsies of infancy, reflex epilepsies and hyperekplexia. It could be the earliest from of idiopathic generalized epilepsy.