転倒を伴った乳児期発症ミオクロニー欠神てんかんの１例

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  • An Early-onset Case of Epilepsy with Myoclonic Absences Accompanied by Falling.

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We reported a 6-year-old girl suffering from epilepsy with myoclonic absences from the age of 6 months. Psychomotor development had been retarded before the seizure onset. Seizures occurred frequently, up to 100 times a day, were characterized by sudden impairment of consciousness accompanied by rhythmic jerking of the shoulders and arms, eye deviation and occasional falling. The ictal EEGs showed diffuse synchronous 3Hz spike and wave bursts. The spike of a spike-wave discharge related constantly with myoclonia. From an analysis of simultaneous video-EEG recording, the falling is likely due to a contraction of the erector spinae muscles. The seizure has been suppressed for 6 months with a combination of sodium valproate and ethosuaximide.

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  • てんかん研究

    てんかん研究 11 (2), 146-152, 1993

    一般社団法人 日本てんかん学会

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