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Micromyoclonic Seizures of Sleep
Paul R. Ash, MD, PhD;
W. Brewster Smith, MD
Arch Neurol. 1979;36(9):575-577.
Abstract
A patient with primary generalized epilepsy had convulsive seizures refractory to anticonvulsant therapy. Several waking EEGs failed to show paroxysmal activity, but a sleep recording revealed polyspike EEG discharges associated with individual electromyographic discharges localized to the chin. The discharges occurred with a 90- to 100-minute period during the night. An increased frequency and duration of the EEG discharges on the last night of recording preceded a marked increase in the number of convulsions the following day.
Author Affiliations
From the Epilepsy Center of Oregon/Good Samaritan Hospital and Medical Center, Portland (Drs Ash and Smith), and the Department of Neurology, the University of Oregon Health Sciences Center, Portland (Dr Ash).
Footnotes
Accepted for publication July 2, 1978.
Reprint requests to Department of Neurology, the University of Oregon Health Sciences Center, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr Ash).
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