The topographical distribution of epileptic spikes in juvenile myoclonic epilepsy with and without photosensitivity

Autor: Gergard Visser, Josemir W. Sander, N.E.C. van Klink, Prisca R. Bauer, K. Gorgels, Willy P. J. Spetgens, Maeike Zijlmans, Frans S. S. Leijten
Rok vydání: 2016
Předmět:
Zdroj: Clinical Neurophysiology, 128(1), 176. Elsevier Ireland Ltd
ISSN: 1872-8952
1388-2457
Popis: Objective Up to 30% of people with juvenile myoclonic epilepsy (JME) have photoparoxysmal responses (PPR). Recent studies report on structural and pathophysiological differences between people with JME with (JME+PPR) and without PPR (JME−PPR). We investigated whether electrophysiological features outside photic stimulation differ between these subtypes. Methods We analysed EEG recordings of people with JME at a tertiary epilepsy centre and an academic hospital. Photosensitivity was assessed in a drug-naïve condition. We compared the occurrence and involvement of posterior electrodes for focal abnormalities and generalised spike-wave activity in the EEG outside photic stimulation between JME+PPR and JME−PPR. Results We included EEG recordings of 18 people with JME+PPR and 21 with JME−PPR. People with JME−PPR had less focal abnormalities in the posterior brain regions than people with JME+PPR (19% vs 55%, p
Databáze: OpenAIRE