Juvenile Myoclonic Epilepsy (JME)

Synonyms:

a.k.a. Janz syndrome

Diagnosis:

Clinical features plus EEG

Clinical features:

myoclonic jerks, shortly after waking. Generalized tonic clonic seizures triggered by sleep deprivation

Findings on Investigations:

EEG: 4-6 Hz generalized spike wave.

Treatment:

Life long
Valproate VPA orally (except in women of childbearing age)
Lamotrigrine, Levetiracetam LEV, Topiramate TPM, primidone

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