Chess-playing epilepsy: a case report with video-EEG and back averaging.
A patient suffering from juvenile myoclonic epilepsy experienced myoclonic jerks, fairly regularly, while playing chess. The myoclonus appeared particularly when he had to plan his strategy, to choose between two solutions or while raising the arm to move a chess figure. Video-EEG-polygraphy was performed, with back averaging of the myoclonus registered during a chess match and during neuropsychological testing with Kohs cubes. The EEG spike wave complexes were localised in the fronto-central region. [Published with video sequences].
Mann
M W
MW
Neurosurgery Department, Centre hospitalier St Anne, Paris, France. m.mann@ch.anne.fr
Gueguen
B
B
Guillou
S
S
Debrand
E
E
Soufflet
C
C
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001288:Attention / Q000187:drug effects / Q000502:physiology; D004569:Electroencephalography / Q000187:drug effects; D004576:Electromyography / Q000187:drug effects; D004831:Epilepsies, Myoclonic / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D020195:Epilepsy, Reflex / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005071:Evoked Potentials / Q000187:drug effects / Q000502:physiology; D005625:Frontal Lobe / Q000187:drug effects / Q000503:physiopathology; D005717:Games, Experimental; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D010988:Play and Playthings; D011340:Problem Solving / Q000187:drug effects / Q000502:physiology; D011597:Psychomotor Performance / Q000187:drug effects / Q000502:physiology; D012815:Signal Processing, Computer-Assisted; D014635:Valproic Acid / Q000627:therapeutic use; D014741:Video Recording
D000927:Anticonvulsants; D014635:Valproic Acid