title: [Primary reading epilepsy: therapeutic efficacy of clonazepam in one case].
abstract: Primary reading epilepsy is a rare form of reflex epilepsy, in which reading is the specific stimulus evoking attacks. The authors report a case of an 18-year-old man who since the age of 17 presented myoclonic jaw jerking provoked exclusively by reading. In one episode, in which reading was not interrupted, jerks were followed by a generalized convulsive seizure. EEG with routine activating procedures was normal, while EEG recorded during reading showed bilaterally synchronous paroxysmal small-voltage spikes, more prominent in frontocentral regions, coinciding with jaw myoclonus. Complete clinical seizures control and EEG normalization were achieved with clonazepam 2 mg daily in a 24-month follow-up.
authors: Divisão de Clínica Neurológica, Hospital das Clinicas da FMUSP São Paulo, Brasil.
authors: E M
authors: EM
authors: Yacubian
authors: L H
authors: LH
authors: Castro
authors: R M
authors: RM
authors: Grossmann
authors: L
authors: L
authors: Marques-Assis
mesh_terms: D000293:Adolescent; D002998:Clonazepam / Q000627:therapeutic use*; D004569:Electroencephalography; D004827:Epilepsy / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D011932:Reading
chemical_list: D002998:Clonazepam
vernacular_title: Epilepsia primária da leitura: efficácia terapêutica do clonazepam em um caso.