Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 127 - 130 Metin Dili: İngilizce İndeks Tarihi: 17-02-2022

Late-Onset Generalized Myoclonic Seizure: Case Report

Öz:
Most of the epileptic seizures that begin at an advanced age are focal onset seizures due to an underlying structural lesion. Generalized myoclonic seizures, usually seen in adolescence, are very rare in elderly patients without a history of epilepsy. In this study, we present a 60-year-old patient with generalized myoclonic seizures with electrophysiological findings. Because of the late-onset, myoclonic jerks were first evaluated with the diagnosis of non-epileptic psychogenic attack in an external health center. The patient was diagnosed with seizure recordings in Electroencephalography-video monitoring. The patient responded well to the antiepileptic treatment and became seizure-free.
Anahtar Kelime:

Geç Başlangıçlı Jeneralize Myoklonik Nöbet: Olgu Sunumu

Öz:
İleri yaşta başlayan epileptik nöbetlerin çoğunluğu altta yatan yapısal bir lezyona bağlı fokal başlangıçlı nöbetlerdir. Genellikle ergenlik döneminde görülen jeneralize miyoklonik nöbetlerin ise epilepsi öyküsü olmayan ileri yaş hastalarda görülmesi çok nadirdir. Biz bu çalışmada 60 yaşında jeneralize miyoklonik nöbetleri başlayan bir olguyu elektrofizyolojik bulguları ile sunuyoruz. Olguda miyoklonik sıçramalar ileri yaşta başlamasından dolayı dış merkezde epileptik olmayan psikojen atak tanısı ile değerlendirilmişti. Yapılan video elektroensefalografi kayıtlamada hastaya kliniğimizde tanı konmuş, olgu antiepileptik tedaviye iyi yanıt vermiş, nöbetsizlik sağlanmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Choi H, Pack A, Elkind MS, Longstreth WT Jr, Ton TG, Onchiri F. Predictors of incident epilepsy in older adults: The Cardiovascular Health Study. Neurology 2017;88(9):870–7.
  • 2. Stephen LJ, Brodie MJ. Epilepsy in elderly people. Lancet 2000;355(9213):1441–6.
  • 3. Gilliam F, Steinhoff BJ, Bittermann HJ, Kuzniecky R, Faught E, Abou-Khalil B. Adult myoclonic epilepsy: a distinct syndrome of idiopathic generalized epilepsy. Neurology 2000;55(7):1030–3.
  • 4. Brigo F, Tavernelli V, Nardone R, Trinka E. De novo late-onset absence status epilepticus or late-onset idiopathic generalized epilepsy? A case report and systematic review of the literature. Epileptic Disord 2018;20(2):123–31.
  • 5. Michel VH, Sebban C, Debray-Meignan S, Ourabah Z, Rousseau-Lavallard MC, Piette F, et al. Electroclinical features of idiopathic generalized epilepsies in the elderly: a geriatric hospital-based study. Seizure 2011;20(4):292–8.
  • 6. Tóth V, Rásonyi G, Fogarasi A, Kovács N, Auer T, Janszky J. Juvenile myoclonic epilepsy starting in the eighth decade. Epileptic Disord 2007;9(3):341–5.
  • 7. Yenjun S, Harvey AS, Marini C, Newton MR, King MA, Berkovic SF. EEG in adult-onset idiopathic generalized epilepsy. Epilepsia 2003;44(2):252–6.
  • 8. Hiyoshi T, Yagi K. Epilepsy in the elderly. Epilepsia 2000;41(Suppl 9):31–5.
  • 9. Hauser WA. Seizure disorders: the changes with age. Epilepsia 1992;33(Suppl 4):S6–14.
  • 10. Marini C, King MA, Archer JS, Newton MR, Berkovic SF. Idiopathic generalised epilepsy of adult onset: clinical syndromes and genetics. J Neurol Neurosurg Psychiatry 2003;74(2):192–6.
  • 11. Messing RO, Closson RG, Simon RP. Drug-induced seizures: a 10-year experience. Neurology 1984;34(12):1582–6.
  • 12. Gopi M, Arumugam A. Acute myoclonic jerk terminated by a simple procedure - A case report. J Clin Diagn Res 2016;10(2):OD16–7.
  • 13. Czapińska-Ciepiela E. The risk of epileptic seizures during antibiotic therapy. Wiad Lek 2017;70(4):820–6. [Article in Polish]
  • 14. Calandra G, Lydick E, Carrigan J, Weiss L, Guess H. Factors predisposing to seizures in seriously ill infected patients receiving antibiotics: Experience with imipenem/cilastatin. Am J Med 1988;84(5):911–8.
  • 15. Marosi M, Luef G, Schett P, Graf M, Sailer U, Bauer G. The effects of brain lesions on the course of chronic epilepsies. Epilepsy Res 1994;19(1):63–9.
  • 16. Silbert LC, Nelson C, Holman S, Eaton R, Oken BS, Lou JS, et al. Cortical excitability and age-related volumetric MRI changes. Clin Neurophysiol 2006;117(5):1029–36.
  • 17. Mantoan L, Walker M. Treatment options in juvenile myoclonic epilepsy. Curr Treat Options Neurol 2011;13(4):355–70.
APA Özkan H, GULDIKEN B, Çakar M, Sert Sunal A, KEHAYA S (2021). Late-Onset Generalized Myoclonic Seizure: Case Report. , 127 - 130.
Chicago Özkan Hülya,GULDIKEN Baburhan,Çakar Merve Melodi,Sert Sunal Aslı,KEHAYA Sezgin Late-Onset Generalized Myoclonic Seizure: Case Report. (2021): 127 - 130.
MLA Özkan Hülya,GULDIKEN Baburhan,Çakar Merve Melodi,Sert Sunal Aslı,KEHAYA Sezgin Late-Onset Generalized Myoclonic Seizure: Case Report. , 2021, ss.127 - 130.
AMA Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S Late-Onset Generalized Myoclonic Seizure: Case Report. . 2021; 127 - 130.
Vancouver Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S Late-Onset Generalized Myoclonic Seizure: Case Report. . 2021; 127 - 130.
IEEE Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S "Late-Onset Generalized Myoclonic Seizure: Case Report." , ss.127 - 130, 2021.
ISNAD Özkan, Hülya vd. "Late-Onset Generalized Myoclonic Seizure: Case Report". (2021), 127-130.
APA Özkan H, GULDIKEN B, Çakar M, Sert Sunal A, KEHAYA S (2021). Late-Onset Generalized Myoclonic Seizure: Case Report. Epilepsi, 27(2), 127 - 130.
Chicago Özkan Hülya,GULDIKEN Baburhan,Çakar Merve Melodi,Sert Sunal Aslı,KEHAYA Sezgin Late-Onset Generalized Myoclonic Seizure: Case Report. Epilepsi 27, no.2 (2021): 127 - 130.
MLA Özkan Hülya,GULDIKEN Baburhan,Çakar Merve Melodi,Sert Sunal Aslı,KEHAYA Sezgin Late-Onset Generalized Myoclonic Seizure: Case Report. Epilepsi, vol.27, no.2, 2021, ss.127 - 130.
AMA Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S Late-Onset Generalized Myoclonic Seizure: Case Report. Epilepsi. 2021; 27(2): 127 - 130.
Vancouver Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S Late-Onset Generalized Myoclonic Seizure: Case Report. Epilepsi. 2021; 27(2): 127 - 130.
IEEE Özkan H,GULDIKEN B,Çakar M,Sert Sunal A,KEHAYA S "Late-Onset Generalized Myoclonic Seizure: Case Report." Epilepsi, 27, ss.127 - 130, 2021.
ISNAD Özkan, Hülya vd. "Late-Onset Generalized Myoclonic Seizure: Case Report". Epilepsi 27/2 (2021), 127-130.