Epilepsy with myoclonic absences: a case series highlighting clinical heterogeneity and surgical management (notice n° 612169)

détails MARC
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fixed length control field 02391cam a2200241 4500500
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control field 20250121162740.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
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Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Carter, Emma G.
Relator term author
245 00 - TITLE STATEMENT
Title Epilepsy with myoclonic absences: a case series highlighting clinical heterogeneity and surgical management
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2022.<br/>
500 ## - GENERAL NOTE
General note 62
520 ## - SUMMARY, ETC.
Summary, etc. Objective. Epilepsy with myoclonic absences is a rare epilepsy syndrome with distinct features and high rates of drug resistance. Identifying this syndrome may help guide treatment decisions. We highlight clinical heterogeneity in this case series and two cases in which corpus callosotomy was performed. Methods. Medical records were reviewed between 2017 and 2021 to identify demographics, comorbidities, age at onset, EEG findings, diagnostic evaluations, seizure semiologies, seizure frequency, anti-seizure medications, diet therapy and surgical treatments in patients with myoclonic absences. Results. Ten patients were identified including twins with myoclonic absence status epilepticus. Forty percent had an atonic component, 20% presented with myoclonic absence status epilepticus and 60% had incomplete control of seizures at last follow-up visit. Two patients with epilepsy with myoclonic absences with atonia underwent corpus callosotomy; one patient was seizurefree eight months after surgery and the other had greater than 50% seizure reduction over a five-month period. Significance. Phenotypic heterogeneity was evident based on seizure semiologies, comorbidities, seizure frequency and response to anti-seizure medications and non-medication treatments. Of patients with an atonic component, 75% did not achieve seizure freedom with medication alone. Corpus callosotomy was performed in two of these patients with encouraging seizure response thus far, however, the efficacy of this treatment should be further evaluated in a larger study.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element corpus callosotomy
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element clinical heterogeneity
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element seizure freedom
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element epilepsy with myoclonic absences
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Armour, Eric A.
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pagano, Lindsay M.
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Reddy, Shilpa B.
Relator term author
786 0# - DATA SOURCE ENTRY
Note Epileptic Disorders | Vol 24 | 3 | 2022-03-01 | p. 541-547 | 1294-9361
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-epileptic-disorders-2022-3-page-541?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-epileptic-disorders-2022-3-page-541?lang=en&redirect-ssocas=7080</a>

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