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A variant of idiopathic epilepsy: Clinical note

https://doi.org/10.14412/2074-2711-2015-1S-60-62

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Abstract

The paper describes a clinical case of idiopathic generalized epilepsy with a variable phenotype, a similar type of epileptiform activity in the second stage of sleep, and a similar genotype in siblings.
The onset of seizures was observed after closed brain injury in both cases. The sister had myoclonic seizures and her brother had generalized convulsive seizures late in the evening. 

Idiopathic generalized epilepsy with generalized convulsive seizures appears as generalized tonic-clonic seizures on awakening. But in a number of cases, these seizures may occur when going to sleep. The brother has supposedly idiopathic generalized epilepsy with generalized tonicclonic seizures and his sister has juvenile myoclonic epilepsy, as indicated by her age, hereditary predisposition, phenobarbital-provoked seizures (the latter are also observed in his brother), an electrographic pattern, and the efficacy of Keppra and Topamax. 

About the Authors

V. A. Karlov
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia; 20, Delegatskaya St., Build. 1, Moscow 127473
Russian Federation


S. N. Illarioshkin
Neurology Research Center, Moscow, Russia; 80, Volokolamskoye Shosse, Moscow 125367
Russian Federation


G. A. Kovalenko
Neurology Research Center, Moscow, Russia; 80, Volokolamskoye Shosse, Moscow 125367
Russian Federation


N. Yu. Abramycheva
Neurology Research Center, Moscow, Russia; 80, Volokolamskoye Shosse, Moscow 125367
Russian Federation


References

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4. Steinlein O.K. Gene defects in idiopatic epilepsy. Rev Neurol (Paris). 1999 Jul;155(6–7):450–3.


For citation:


Karlov V.A., Illarioshkin S.N., Kovalenko G.A., Abramycheva N.Y. A variant of idiopathic epilepsy: Clinical note. Neurology, Neuropsychiatry, Psychosomatics. 2015;7(1S):60-62. (In Russ.) https://doi.org/10.14412/2074-2711-2015-1S-60-62

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)