title: Focal epilepsy recruiting a generalised network of juvenile myoclonic epilepsy: a case report.
abstract: We report a patient with juvenile myoclonic epilepsy who subsequently developed temporal lobe epilepsy, which gradually became clinically dominant. Video telemetry revealed both myoclonic seizures and temporal lobe seizures. The temporal lobe seizures were accompanied by a focal recruiting rhythm with rapid generalisation on EEG, in which the ictal EEG pattern during the secondary generalised phase was morphologically similar to the ictal pattern during myoclonic seizures. The secondary generalised seizures of the focal epilepsy responded to sodium valproate, similar to the myoclonic epilepsy. In this rare case of coexistent Juvenile Myoclonic Epilepsy and Temporal lobe epilepsy, the possibility of focal epilepsy recruiting a generalised epileptic network was proposed and discussed.
authors.affiliation: Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Malaysia, Department of Medicine, University of Medicine, Mandalay, Myanmar.
authors.forename: Myo
authors.initials: M
authors.lastname: Khaing
authors.affiliation: Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Malaysia.
authors.forename: Kheng-Seang
authors.initials: KS
authors.lastname: Lim
authors.affiliation: Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Malaysia.
authors.forename: Chong-Tin
authors.initials: CT
authors.lastname: Tan
mesh_terms: D000293:Adolescent; D000328:Adult; D001921:Brain / Q000473:pathology / Q000503:physiopathology*; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020190:Myoclonic Epilepsy, Juvenile / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D055815:Young Adult
keywords: electroencephalography; epileptic network; focal epilepsy; juvenile myoclonic epilepsy