Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study

Background: Juvenile Myoclonic Epilepsy (JME) is one of the most common idiopathic generalized epilepsies, typically emerging during adolescence. Despite its characteristic clinical and EEG features, diagnosis may sometimes be delayed. Objectives: The aim of this study is to determine the frequency...

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Main Authors: Arzu Eroğlu, Ahmet Sami Güven, Huseyin Caksen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Acta Neurologica Taiwanica
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Online Access:https://journals.lww.com/10.4103/ANT.ANT_113_0026
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author Arzu Eroğlu
Ahmet Sami Güven
Huseyin Caksen
author_facet Arzu Eroğlu
Ahmet Sami Güven
Huseyin Caksen
author_sort Arzu Eroğlu
collection DOAJ
description Background: Juvenile Myoclonic Epilepsy (JME) is one of the most common idiopathic generalized epilepsies, typically emerging during adolescence. Despite its characteristic clinical and EEG features, diagnosis may sometimes be delayed. Objectives: The aim of this study is to determine the frequency of juvenile myoclonic epilepsy (JME) among generalized epilepsies in children and the issues that should not be overlooked in its clinical course. Materials and Methods: This retrospective cross-sectional study was conducted between 2017 and 2019 at Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatric Neurology, Electroencephalography (EEG) Unit. A total of 300 patients with generalized epilepsy were studied. A total of 3600 EEG recordings were evaluated in detail by the same pediatric neurologist. Results: JME was detected in 8% of the patients; 80% of the patients were female, 20% were male, median age was 15 years (6–17 years), 44% of the patients had a family history of seizures, and 68% had parental consanguinity. Late diagnosis was observed in 4% of JME patients. The most common myoclonic seizures in both groups consisted of eyelid twitching, continuous hand tremor, and accidental dropping of an object in the hand. The mean time from first seizure to correct diagnosis was 2 years (1–6 years). Conclusions: This study demonstrates that in patients with undiagnosed generalized epilepsy in childhood, seizure characteristics should be assessed through a thorough review of their medical history and careful monitoring during clinical follow-up to accurately determine the true incidence of JME.
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spelling doaj-art-44c712c5b108430489a99907c4e935ed2025-08-20T03:30:48ZengWolters Kluwer Medknow PublicationsActa Neurologica Taiwanica1028-768X2025-04-01342768010.4103/ANT.ANT_113_0026Juvenile Myoclonic Epilepsy Adventure: A Retrospective StudyArzu EroğluAhmet Sami GüvenHuseyin CaksenBackground: Juvenile Myoclonic Epilepsy (JME) is one of the most common idiopathic generalized epilepsies, typically emerging during adolescence. Despite its characteristic clinical and EEG features, diagnosis may sometimes be delayed. Objectives: The aim of this study is to determine the frequency of juvenile myoclonic epilepsy (JME) among generalized epilepsies in children and the issues that should not be overlooked in its clinical course. Materials and Methods: This retrospective cross-sectional study was conducted between 2017 and 2019 at Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatric Neurology, Electroencephalography (EEG) Unit. A total of 300 patients with generalized epilepsy were studied. A total of 3600 EEG recordings were evaluated in detail by the same pediatric neurologist. Results: JME was detected in 8% of the patients; 80% of the patients were female, 20% were male, median age was 15 years (6–17 years), 44% of the patients had a family history of seizures, and 68% had parental consanguinity. Late diagnosis was observed in 4% of JME patients. The most common myoclonic seizures in both groups consisted of eyelid twitching, continuous hand tremor, and accidental dropping of an object in the hand. The mean time from first seizure to correct diagnosis was 2 years (1–6 years). Conclusions: This study demonstrates that in patients with undiagnosed generalized epilepsy in childhood, seizure characteristics should be assessed through a thorough review of their medical history and careful monitoring during clinical follow-up to accurately determine the true incidence of JME.https://journals.lww.com/10.4103/ANT.ANT_113_0026clinical adventuregeneralized epilepsyjuvenile myoclonic epilepsy
spellingShingle Arzu Eroğlu
Ahmet Sami Güven
Huseyin Caksen
Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
Acta Neurologica Taiwanica
clinical adventure
generalized epilepsy
juvenile myoclonic epilepsy
title Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
title_full Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
title_fullStr Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
title_full_unstemmed Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
title_short Juvenile Myoclonic Epilepsy Adventure: A Retrospective Study
title_sort juvenile myoclonic epilepsy adventure a retrospective study
topic clinical adventure
generalized epilepsy
juvenile myoclonic epilepsy
url https://journals.lww.com/10.4103/ANT.ANT_113_0026
work_keys_str_mv AT arzueroglu juvenilemyoclonicepilepsyadventurearetrospectivestudy
AT ahmetsamiguven juvenilemyoclonicepilepsyadventurearetrospectivestudy
AT huseyincaksen juvenilemyoclonicepilepsyadventurearetrospectivestudy