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  • Title: Perioral myoclonia with absences: an overlooked and misdiagnosed generalized seizure type.
    Author: Baykan B, Noachtar S.
    Journal: Epilepsy Behav; 2005 May; 6(3):460-2. PubMed ID: 15820362.
    Abstract:
    OBJECTIVE: The goal of this report is to draw attention to perioral myoclonia with absences, a rare and underrecognized generalized seizure type. METHODS: We describe a 31-year-old, mildly retarded patient who had absence seizures with prominent perioral movements and rare generalized tonic-clonic convulsions. He had an attack of status epilepticus consisting of asymmetrical perioral myoclonic jerks and was misdiagnosed with epilepsia partialis continua. RESULTS: The perioral myoclonia were associated with brief lapses of consciousness and with a generalized EEG pattern as shown by the synchronous video/EEG investigation with polygraphic recordings. The patient was diagnosed as having the syndrome of perioral myoclonia with absences described by C.P. Panayiotopoulos, C.D. Ferrie, S.E. Giannakodimos, and R.O. Robinson (in: Wolf P, editor. Epileptic seizures and syndromes. London: John Libbey; 1994, p. 143-53). CONCLUSION: We emphasize that this rare and peculiar seizure type associated with generalized epilepsy can be misdiagnosed as focal epilepsy.
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