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EPILEPSY WITH MYOCLONIC-ATONIC SEIZURES

Overview

Epilepsy with myoclonic-atonic seizures (previously known as epilepsy with myoclonic astatic seizures, or Doose syndrome) is a syndrome characterized by the presence of myoclonic-atonic seizures in an otherwise normal child who may have a history of febrile and/or afebrile seizures. There is often a family history of seizures.

Clinical context

This syndrome is characterized by seizures that have onset between 6 months and 6 years of age (peak 2 to 4 years). In two thirds of children febrile seizures and generalized convulsive seizures precede the onset of myoclonic-atonic and atonic seizures. Both sexes are affected, with a male predominance (ratio 2:1). Antecedent and birth history is unremarkable. Neurological examination and head size are normal. Development and cognition is typically normal, however impairments may develop at or after seizure onset.

CAUTION Glucose transporter disorders should be excluded.

NOTE Epilepsy with myoclonic-atonic seizures is considered an 'epileptic encephalopathy'. This term denotes the concept that the epileptic activity itself might directly contribute additional cognitive and behavioral impairments over those expected from the underlying etiology alone, and that suppression of epileptic activity might minimize this additional impairment.

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