Juvenil Myoklonik Epilepsi (Janz Sendromu)
Mustafa Ülker, Dilek Ataklı
Article No:
9
Article Type :
Case Report
Juvenile myoclonic epilepsia (JME) is a synclrome characterized by irregular, arrhytmic, myoclonic jerks especially in arms appearing in puberty. JME is a common epilepsia syndrome, consisting 5-11 % of all epilepsias. 1 per 3 patients has family history. Coexisting generalized tonic-clonic and absance seizures are seen in 80-95 % and 10 % of patients respectively. Most important triggering factors of seizures are sleep deprivation and fatique. Characteristic EEG findings are bilateral syncrone, syrnmetic, polyspike and wave discharges more prominent in frontocentral regions. The first choice in treatment is valproic acid. The treatment is lifelong and relapse risk is very high with cessation of therapy.
Keywords :
Myoclonic jerks, EEG, valproic acid
Dusunen Adam : The Journal of Psychiatry and Neurological Sciences :
2004;17:131-134
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