title: Fronto-polar epilepsy masquerading as juvenile myoclonic epilepsy.
abstract: A woman diagnosed with juvenile myoclonic epilepsy for over 30 years presented with stereotyped episodes of abnormal sensations in both arms. Continuous video-EEG monitoring for 14 days and MRI brain revealed that the patient's somatosensory events with associated postictal aphasia, as well as her myoclonic and generalised tonic-clonic seizures, were likely due to a symptomatic left fronto-polar epilepsy. Our case emphasizes the need for clinicians to consider fronto-polar epilepsy as a potential cause of myoclonic seizures, particularly when associated with other semiologic features suggestive of frontal lobe epilepsy. [Published with video sequences].
authors.affiliation: Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, Montreal, Canada.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Keezer
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Saint-Hilaire
authors.forename: Dang Khoa
authors.initials: DK
authors.lastname: Nguyen
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D002220:Carbamazepine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004569:Electroencephalography; D017034:Epilepsy, Frontal Lobe / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004829:Epilepsy, Generalized / Q000175:diagnosis / Q000209:etiology; D004830:Epilepsy, Tonic-Clonic / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005625:Frontal Lobe / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020190:Myoclonic Epilepsy, Juvenile / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D019635:Neurosurgical Procedures; D012640:Seizures / Q000503:physiopathology; D014057:Tomography, X-Ray Computed
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine