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].
MeSH terms
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Anticonvulsants / therapeutic use
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Brain / pathology
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Carbamazepine / therapeutic use
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Diagnosis, Differential
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Electroencephalography
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Epilepsy, Frontal Lobe / diagnosis*
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Epilepsy, Frontal Lobe / pathology
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Epilepsy, Frontal Lobe / surgery
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Epilepsy, Generalized / diagnosis
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Epilepsy, Generalized / etiology
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Epilepsy, Tonic-Clonic / diagnosis
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Epilepsy, Tonic-Clonic / etiology
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Female
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Frontal Lobe / pathology
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Humans
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Magnetic Resonance Imaging
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Middle Aged
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Myoclonic Epilepsy, Juvenile / diagnosis*
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Myoclonic Epilepsy, Juvenile / pathology
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Myoclonic Epilepsy, Juvenile / surgery
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Neurosurgical Procedures
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Seizures / physiopathology
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Tomography, X-Ray Computed
Substances
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Anticonvulsants
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Carbamazepine