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Epilepsy

J.M.E.

03/18/2009

Question:

my doctor said that i have J.M.E. and it is left temporal, i want to ask that what activity take place exactly in brain when jerks are occured? i often get brief jerks even with medication and i have tried several known medication (including valporate,lamictal,tegretol,epilim,epival and now keppra)for j.m.e. but nothing has completely stopped these jerks

Answer:

Juvenile myoclonic epilepsy (or JME) is characterized by multiple seizures types. The seizure types include both generalized tonic-clonic (grand mal) seizures and myoclonic jerks in almost all cases. Some patients also have absence seizures (staring spells). The EEG shows a characteristic pattern. Seizures are not focal in onset but are generalized in onset. Since your seizures remain uncontrolled, I suggest you be seen at a specialized epilepsy center to have video/EEG monitoring. This test will conform the type of seizures you have and then your physicians can choose the best treatment for you.

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Response by:

David M Ficker, MD David M Ficker, MD
Associate Professor
College of Medicine
University of Cincinnati