Diagnosing juvenile myoclonic epilepsy in an elderly patient.
Juvenile myoclonic epilepsy is a common idiopathic generalized epilepsy with age-related onset of symptoms. We present an unusual case where definitive diagnosis was delayed until the patient was aged 66 years, despite early recognition of the clinical features. Although uncommon in the elderly, JME should be considered in all patients with seizures refractory to treatment.
Grünewald
R A
RA
National Hospital of Neurology and Neurosurgery, Queen Square, London, UK.
Panayiotopoulos
C P
CP
D000368:Aged; D002998:Clonazepam / Q000008:administration & dosage; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D004569:Electroencephalography / Q000187:drug effects; D004831:Epilepsies, Myoclonic / Q000175:diagnosis* / Q000188:drug therapy; D004832:Epilepsy, Absence / Q000175:diagnosis / Q000188:drug therapy; D004830:Epilepsy, Tonic-Clonic / Q000175:diagnosis / Q000188:drug therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010634:Phenobarbital / Q000008:administration & dosage
D002998:Clonazepam; D010634:Phenobarbital