[Primary reading epilepsy: therapeutic efficacy of clonazepam in one case].
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.
Yacubian
E M
EM
Divisão de Clínica Neurológica, Hospital das Clinicas da FMUSP São Paulo, Brasil.
Castro
L H
LH
Grossmann
R M
RM
Marques-Assis
L
L
D000293:Adolescent; D002998:Clonazepam / Q000627:therapeutic use*; D004569:Electroencephalography; D004827:Epilepsy / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D011932:Reading
D002998:Clonazepam
Epilepsia primária da leitura: efficácia terapêutica do clonazepam em um caso.