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Epileptic Seizures Evoked by Card Games, Draughts, and Similar Games
Author(s) -
Senanayake Nimal
Publication year - 1987
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1157.1987.tb03657.x
Subject(s) - juvenile myoclonic epilepsy , clonazepam , clobazam , myoclonic jerk , psychology , petit mal , spike and wave , ictal , anesthesia , electroencephalography , epilepsy , medicine , valproic acid , audiology , pediatrics , neuroscience
Summary: Three Asian patients, since adolescence, had myoclonic jerks and tonic‐clonic seizures during card games, draughts, and a local game “punchi.” Interictal EEG showed generalized bisynchronous atypical 3‐Hz spike and wave discharges. Test procedures evoked EEG dysrhythmia and clinical seizures in two patients. These patients and previously reported cases have the seizure disorder juvenile myoclonic epilepsy (impulsive petit mal), which seems particularly sensitive to provocation by cognitive functions, especially decision making. Myoclonic epilepsy is considered resistant to antiepileptic drugs other than clonazepam and valproate, but two of our patients responded well to clobazam.