The efficacy of lamotrigine for atypical absence status epilepticus in a case of perioral myoclonia with absence

Yusuke Takezawa, Yosuke Kakisaka, Keisuke Wakusawa, Mamiko Ishitobi, Naomi Hino-Fukuyo, Takehiko Inui, Wakaba Endo, Mai Anzai, Nobukazu Nakasato, Kazuhiro Haginoya

Research output: Contribution to journalArticlepeer-review

Abstract

Perioral myoclonia with absences, which is currently not recognized officially by the International League Against Epilepsy classification, is generalized epilepsy characterized by short absences with constant rhythmic contraction of the perioral muscles. The long-term outcome and features of this disease are not clear. We describe a patient with perioral myoclonia with absences, brief axial tonic seizures, and atypical absence status epilepticus, who was followed for 21 years. The efficacy of lamotrigine in this case was remarkable. This report suggests that when clinicians see a patient with absences accompanied by myoclonia limited to the facial area, perioral myoclonia with absences should be considered in terms of appropriate treatment and care for atypical absence status epilepticus.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalEpilepsy and Seizure
Volume8
Issue number1
DOIs
Publication statusPublished - 2016

Keywords

  • Absence
  • Atypical absence status epilepticus
  • Axial tonic seizure
  • Generalized epilepsy
  • Perioral myoclonia

ASJC Scopus subject areas

  • Clinical Neurology

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