PMID- 22386832 OWN - NLM STAT- MEDLINE DCOM- 20130424 LR - 20131121 IS - 1872-7131 (Electronic) IS - 0387-7604 (Linking) VI - 34 IP - 10 DP - 2012 Nov TI - Benign myoclonic epilepsy in infancy with preceding afebrile generalized tonic-clonic seizures in Japan. PG - 829-33 LID - S0387-7604(12)00035-6 [pii] LID - 10.1016/j.braindev.2012.02.003 [doi] AB - Benign myoclonic epilepsy in infancy (BMEI) is the youngest form of idiopathic generalized epilepsy, characterized by myoclonic seizures (MS) in the first three years of life in otherwise normal infants, and the lack of other seizure types except for rare simple febrile seizures. Although afebrile generalized tonic-clonic seizures (GTCS) have been described to develop later in the clinical course of BMEI, mostly during adolescence, an association with GTCS in the early stage of BMEI has never been recognized. We herein report seven children who satisfied the criteria of BMEI except for the recurrence of GTCS before the onset of MS. The age of onset and ictal video-polygraphic features of MS, as well as the long-term seizure and developmental outcome in these children were similar to those of children with typical BMEI. Furthermore, these GTCS mostly disappeared within several months and were replaced by MS. Our study indicates that these children may constitute a BMEI subgroup, expanding the spectrum of BMEI. CI - Copyright (c) 2012 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved. FAU - Ito, Susumu AU - Ito S AD - Department of Pediatrics, School of Medicine, Tokyo Women's Medical University, Shinjuku-ku, Japan. itos@ped.twmu.ac.jp FAU - Oguni, Hirokazu AU - Oguni H FAU - Osawa, Makiko AU - Osawa M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120303 PL - Netherlands TA - Brain Dev JT - Brain & development JID - 7909235 RN - 0 (Anticonvulsants) RN - 5PE9FDE8GB (Clonazepam) RN - 5SEH9X1D1D (Ethosuximide) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Anticonvulsants/therapeutic use MH - Child MH - Child, Preschool MH - Clonazepam/therapeutic use MH - Electroencephalography MH - Epilepsies, Myoclonic/complications/drug therapy/*physiopathology MH - Ethosuximide/therapeutic use MH - Female MH - Humans MH - Infant MH - Japan MH - Male MH - Seizures/complications/drug therapy/*physiopathology MH - Treatment Outcome MH - Videotape Recording MH - Young Adult EDAT- 2012/03/06 06:00 MHDA- 2013/04/25 06:00 CRDT- 2012/03/06 06:00 PHST- 2011/12/08 00:00 [received] PHST- 2012/02/05 00:00 [revised] PHST- 2012/02/07 00:00 [accepted] PHST- 2012/03/06 06:00 [entrez] PHST- 2012/03/06 06:00 [pubmed] PHST- 2013/04/25 06:00 [medline] AID - S0387-7604(12)00035-6 [pii] AID - 10.1016/j.braindev.2012.02.003 [doi] PST - ppublish SO - Brain Dev. 2012 Nov;34(10):829-33. doi: 10.1016/j.braindev.2012.02.003. Epub 2012 Mar 3.