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Clonazepam Therapy in a Case of Primary Reading Epilepsy
E. Sáenz Lope, MD
Jefe de Neurología Centro Nacional de Rehabilitación C/Francisco Silvela, 40 Madrid-6, Spain
F. J. Herranz Tanarro, MD
Jefe de Neurofisiología Clinica del Hospital Central de Cruz Roja Madrid, Spain
Arch Neurol. 1982;39(7):455.
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To the Editor.—
Primary reading epilepsy (PRE) is a form of reflex epilepsy that is considered hereditary,1 and whose effective treatment in three cases with clonazepam2-4 and in one case with valproate sodium5 has been described. We studied a man with PRE whose attacks were controlled with clonazepam. His 4-year-old son had myoclonic epilepsy that was controlled with valproate sodium.
Report of a Case.—
A 32-year-old man, first seen seven years earlier, had suffered three generalized convulsive seizures, while reading, since age 18 years. After these, and always when reading texts that required concentrated attention, he felt several throat spasms that reached tonic protrusion of the jaw, and that forced him to stop reading for fear of suffering a new generalized attack; this happens daily, aggravated by excitation or loss of sleep. He always pronounces words to himself in reading. The attacks occur sometimes during an excited
. . . [Full Text PDF of this Article]
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