A Case of Severe Myoclonic Epilepsy in Infancy.
- Author:
Young Jae KOH
;
In Joon SEOL
- Publication Type:Original Article
- MeSH:
Carbamazepine;
Child;
Epilepsies, Myoclonic*;
Humans;
Infant;
Intellectual Disability;
Male;
Seizures;
Seizures, Febrile;
Status Epilepticus;
Valproic Acid
- From:
Journal of the Korean Child Neurology Society
1997;5(1):133-137
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Severe myoclonic epilepsy of infancy(SMEI) is a condition beginning with recurrent, prolonged febrile convulsion in normal children, followed within months to 4 years by generalized tonic clonic seizures, partial seizures, atypical absences, myoclonic seizures and status epilepticus. The seizures are generally difficult to control. Carbamazepine which is appropriate for partial seizures, is not effective and may aggravate generalized seizures, but sodium valproate has been reported to be helpful. The evolution is always bad with persistent seizures and mental retardation. We experienced a severe myoclonic epilepsy of infancy in a 16-month-old male patient who had episodes of prolonged febrile convulsions followed by mixed type of seizures. We report a case of SMEI with a brief review of literatures.