THE DIAGNOSIS AND TREATMENT OF JEAVONS SYNDROME
https://doi.org/10.17650/2073-8803-2014-9-2-55-59
Abstract
The authors describe their clinical case of a female patient with Jeavons syndrome, a rare type of reflex idiopathic epilepsy. By using the data of her medical history, clinical, neurological and neurofunctional studies as an example, they show the complexity of a diagnostic search, errors and difficulties in the choice of therapeutic policy. The typical clinical manifestations of Jeavons syndrome are eyelid myoclonia with absences, eyeclosure- induced seizures, and photosensitivity, which are highly resistant to antiepileptic drugs. The introduction of current neuroimaging methods has increased the degree of evaluation the etiology of Jeavons syndrome.
About the Authors
V. N. Kulagin
Medical Center “Nevron”, Vladivostok
Russian Federation
Russian Federation
N. V. Mikhailichenko
Medical Center “Nevron”, Vladivostok
Russian Federation
Russian Federation
References
1. Миронов М.Б. Эпилептический миоклонус век (лекция). Рус журн дет неврол 2010;5(4):29–38.
2. Миронов М.Б., Мухин К.Ю., Петрухин А.С. Трансформация роландической эпилепсии в синдром Дживонса (два клинических случая). Рус журн дет неврол 2009;4(4): 14–21.
3. Мухин К.Ю., Миронов М.Б., Петрухин А.С. Эпилептические синдромы. Диагностика и терапия. Руководство для врачей. М.: Системные решения, 2014. 376 с.
4. Мухин К.Ю., Петрухин А.С. Идиопатические формы эпилепсии: систематика, диагностика, терапия. М.: Арт-Бизнес-Центр, 2000. 318 с.
5. Мухин К.Ю., Петрухин А.С., Глухова Л.Ю. Эпилепсия. Атлас электро-клинической диагностики. М.: Альварес Паблишинг, 2004. С. 195–7.
6. Федин А.И., Камзолова Н.В. Синдром Дживонса: описание двух атипичных случаев. Журн неврол и психиатр им. С.С. Корсакова. Эпилепсия 2006; 1:71–4.
7. Appleton R.E., Panayiotopoulos C.P., Acomb B.A., Beirne M. Eyelid myoclonia with typical absences: an epilepsy syndrome. J Neurol Neurosurg Psychiatry 1993;56(12):1312–6.
8. Bianchi A., Italian League Against Epilepsy. Studies of concordance of syndromes in families with absence epilepsies. In: Typical absence seizures and related epileptic syndromes. J. Duncan, C.P. Panayiotopoulos (eds.). London: Churchill Livingstone, 1995. Рр. 328–37.
9. Bour L.J., Aramideh M., de Visser B.W. Neurophysiological aspects of eye and eyelid movements during blinking in humans. J Neurophysiol 2000;83(1):166–76.
10. Camfield C.S., Camfield P.R., Sadler M. et al. Paroxysmal eyelid movements: a confusing feature of generalized photosensitive epilepsy. Neurology 2004;63(1):40–2.
11. Dalla Bernardina B., Sgro V., Fontana E. et al. Eyelid myoclonia with absences. In: Reflex seizures and reflex epilepsies. A. Beaumanoir, H. Gastaut, R. Naquet (eds.). Geneve: Medecine & Hygiene, 1989. Рр. 193–200.
12. Duncan J.S., Panayiotopoulos C.P. Eyelid myoclonia with absences. London: John Libbey and Company Ltd, 1996.
13. Engel J. Jr.; International League Against Epilepsy (ILAE). A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: Report of the ILAE Task Force on Classification and Terminology. Epilepsia 2001;42(6):796–803.
14. Ferrie C.D. Eyelid myoclonia with absences. In: Epilepsy in children. 2nd ed. S.J. Wallace, K. Farrell (eds.). London: Edward Arnold Publishers Limited, 2004. Рр. 195–8.
15. Ferrie C.D., Agathonikou A., Parker A. et al. The spectrum of childhood epilepsies with eyelid myoclonia. In: Eyelid myoclonia with absences. J. Duncan, C.P. Panayiotopoulos (eds.). London: John Libbey and Company Ltd, 1996. Рр. 39–48.
16. Ferrie C.D., Giannakodimos S., Robinson R.O., Panayiotopoulos C.P. Symptomatic typical absences. In: Typical absence seizures and related epileptic syndromes. J. Duncan, C.P. Panayiotopoulos (eds.). London: Churchill Livingstone, 1994. Рр. 251–62.
17. Ferrie C.D., Robinson R.O., Knott C., Panayiotopoulos C.P. Lamotrigine as an add-on drug in typical absence seizures. Acta Neurol Scand 1995;91(3): 200–2.
18. Giannakodimos S., Panayiotopoulos C.P. Eyelid myoclonia with absences in adults: a clinical and video-EEG study. Epilepsia 1996;37(1):36–44.
19. Gobbi G., Bruno L., Mainetti S. et al. Eye closure seizures. In: Beaumanoir A., Gastaut H., Naquet R., eds. Reflex seizures and reflex epilepsies. Geneve: Medecine & Hygiene, 1989. Рр. 181–91.
20. Hall A. The origin and the purpose of blinking. Br J Ophthalmol 1945;29(9):445–67.
21. Incorpora G., Sofia V., Pavone P. et al. Clinical heterogeneity in eyelid myoclonia, with absences, and epilepsy. Eur J Pediatr 2002;161(3):175–7.
22. Jeavons P.M. Nosological problems of myoclonic epilepsies in childhood and adolescence. Dev Med Child Neurol 1977;19(1):3–8.
23. Panayiotopoulos C.P. Jeavons syndrome (eyelid myoclonia with absences). In: The epilepsies: seizures, syndromes and management. C.P. Panayiotopoulos (ed.). Oxford: Bladon Medical Publishing, 2005. Рр. 475–80.
24. Parker A., Gardiner R.M., Panayiotopoulos C.P. et аl. Observations on families of patients with eyelid myoclonia with absences. In: Eyelid myoclonia with absences. J. Duncan, C.P. Panayiotopoulos (eds.). London: John Libbey and Company Ltd, 1996. Рр. 107–14.
25. Radovici M.M., Misirliou V.L., Gluckman M. Epilepsie reflexe provoquee par excitations optiques des rayons solaires. Revue Neurologique 1932;1:1305–8.
26. Striano S., Striano P., Nocerino C. et al. Eyelid myoclonia with absences: an overlooked epileptic syndrome? Neurophysiol Clin 2002;32(5):287–96.
27. Wilkins A. Towards an understanding of reflex epilepsy and the absence. In: Typical absence seizures and related epileptic syndromes. J. Duncan, C.P. Panayiotopoulos (eds.). London: Churchill Livingstone, 1995. Рр. 196–205.
Review
For citations:
Kulagin V.N., Mikhailichenko N.V. THE DIAGNOSIS AND TREATMENT OF JEAVONS SYNDROME. Russian Journal of Child Neurology. 2014;9(2):55-59. (In Russ.) https://doi.org/10.17650/2073-8803-2014-9-2-55-59
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