Juvenile myoclonic epilepsy – Clinical features, treatment

  • It starts in early adolescence
  • Bilateral myoclonic jerks are seen
  • Mostly in the morning
  • Precipitated by sleep deprivation
  • The patient usually remains conscious during the episode
  • Associated with absence seizures and generalised tonic clonic seizures
  • Benign condition
  • Complete remission is uncommon
  • Positive family history may be present
  • Responds well to anticonvulsants
  • Drug of choice – Valproate

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