Electrophysiological observations in the epileptic myoclonus
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VATAMAN, Anatolie, CHIOSA, Vitalie, CIOLAC, Dumitru, GROPPA, Stanislav. Electrophysiological observations in the epileptic myoclonus. In: International Journal of Medical Dentistry, 2020, vol. 24, pp. 300-301. ISSN 2066-6063.
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International Journal of Medical Dentistry
Volumul 24 / 2020 / ISSN 2066-6063 /ISSNe 2066-6063

Electrophysiological observations in the epileptic myoclonus


Pag. 300-301

Vataman Anatolie1, Chiosa Vitalie1, Ciolac Dumitru12, Groppa Stanislav21
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Emergency Institute of Medicine
 
 
Disponibil în IBN: 24 mai 2024


Rezumat

Introduction. In myoclonic seizures, polygraphy with simultaneous EMG-EEG recordings is a crucial tool for highlighting the peculiarities of epileptic myoclonic seizures. The goal. Study of clinical-neurophysiological features in patients with myoclonic epileptic seizures, namely clinicalelectroencephalographic correlations. Materials and methods. We performed clinical and neurophysiological examination (night EMG-EEG video monitoring - 10 hours) in 51 patients with myoclonic seizures (mean age 25 ± 9 years, 15 men). Results and discussion. In 36 patients we recorded 49 myoclonic seizures. Clinically, the combination of myoclonic seizures with generalized tonic-clonic seizures prevailed - 53%. The correlation of the myoclonus with the specific generalized hot flash was highlighted in the average third of the hot flash (44%). The onset of myoclonus on the polispike-slow wave pattern prevailed (41%) at the onset of the ascending portion of the slow wave. Conclusion. The evaluation of the clinical-electroencephalographic correlation of patients with myoclonic epileptic seizures demonstrates the presence of a vast polymorphism both clinically and electroencephalographically, which, although not strictly distinctive, suggest different mechanisms underlying myoclonus generation.

Cuvinte-cheie
epileptic myoclonus, seizures, neurology

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<description xml:lang='en' descriptionType='Abstract'><p>Introduction. In myoclonic seizures, polygraphy with simultaneous EMG-EEG recordings is a crucial tool for highlighting the peculiarities of epileptic myoclonic seizures. The goal. Study of clinical-neurophysiological features in patients with myoclonic epileptic seizures, namely clinicalelectroencephalographic correlations. Materials and methods. We performed clinical and neurophysiological examination (night EMG-EEG video monitoring - 10 hours) in 51 patients with myoclonic seizures (mean age 25 &plusmn; 9 years, 15 men). Results and discussion. In 36 patients we recorded 49 myoclonic seizures. Clinically, the combination of myoclonic seizures with generalized tonic-clonic seizures prevailed - 53%. The correlation of the myoclonus with the specific generalized hot flash was highlighted in the average third of the hot flash (44%). The onset of myoclonus on the polispike-slow wave pattern prevailed (41%) at the onset of the ascending portion of the slow wave. Conclusion. The evaluation of the clinical-electroencephalographic correlation of patients with&nbsp;myoclonic epileptic seizures demonstrates the presence of a vast polymorphism both clinically and electroencephalographically, which, although not strictly distinctive, suggest different mechanisms underlying myoclonus generation.</p></description>
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