Doctor insights on:
Medicine For Juvenile Myoclonic Epilepsy
A form of epilepsy..: Usually seen in adolescents - described as involuntary spasms (or jerking) of an upper extremity (such as flinging a comb or a toothbrush) which may, about 1/4 of the time, also demonstrate generalized seizures later in life. Most do not, however. Usually worse in kids that are overly fatigued (e.g. Staying up late/poor sleep) and can sometimes be attributed to "typical teen behavior". ...Read more
Best described by janz in young women. Often with early morning muscle jerks and spasms but can also have associated convulsions. Fairly common and often develops during adolescence. Can be outgrown, but often continues as a primary generalized epilepsy. Eeg pattern very characteristic. Responds to specific medications especially depakote, zonegran, keppra, ? Vimpat, ...Read more
JME of Janz: Best described by janz in young women. Often with early morning muscle jerks and spasms but can also have associated convulsions. Fairly common and often develops during adolescence. Can be outgrown, but often continues as a primary generalized epilepsy. Eeg pattern very characteristic. Responds to specific medications especially depakote, zonegran, keppra, ? Vimpat, (lacosamide) genetic marking found. ...Read more
Gone with time: Most cases of juvenile myoclonic epilepsy (jme) do have to remain on some medication for many years. There are some cases where they are able to discontinue medication within a couple years of treatment. This is not a cure, but is a condition of resolution of the condition with time. There is no specific treatment that is designed to cure. Medications help control as well as good health habits. ...Read more
I was diagnosed with juvenile myoclonic epilepsy. Are seizures more likely to happen at night or in the afternoon?
Are most likely to occur around the time of awakening. Other seizure types associated with JME can occur in sleep more than when awake (focal seizures, GTC, secondarily generalized GTC) Absence seizures tend to be brought out by hyperventilation if they occur at all.
No two cases, to me, are identical making diagnosis a bit tricky. Best of luck. (Treat with Depakote, Keppra (levetiracetam) or Lamictal) ...Read more
I was diagnosed with Juvenile Myoclonic Epilepsy in 2009 (at age 15). Have remained seizure free since then. Can I discontinue Levera XR 750 now?
Seizures: Stopping seizure meds can be an option. However not without close medical supervision. Talk with your doctor. Find out if the time is right. Going off these meds needs to be done gradually so as to not trigger a seizure again. It must be a great feeling to be seizure free. Staying without seizures is the goal. Do it with the council of your doctor! ...Read more
Sudden jerks: Myoclonus involves a sudden involuntary jumping of a limb or even the trunk. It can be benign, as legs may jerk on going to sleep, or it can be very troublesome after contact with inadequate oxygen (hypoxia). A typical myoclonic epilepsy is "juvenile myoclonic epilepsy" which is not uncommon, and has the jerking, but also episodes of loss of consciousness. Specific meds are needed. ...Read more
Muscle spasms: Seizures usually have a stiff tonic phase followed by rhythmic jerking or clonic phase. Myoclonic spasms can be isolated and independent. Infants may have a series of painful spasms especially upon awakening. Adolescents may have morning spasms and even drop or throw their toothbrush. Lennox-gastaut patients may have massive spasms or drop attacks that are myoclonic. Difficult to treat. ...Read more
Is there a loss of sensorium in myoclonic epilepsy? And can it be inherited as autosomal dominant?
Myoclonic Epilepsy: Is a group of I epilepsies. The progressive myoclonic epilepsies have different patterns of inheritance. Some are associated with changes in sensorium. Ask your OB if molecular genetic testing like Chromosomal Microarray is available. If the affected family member (s) & both parents can be tested, a geneticist or genetic counselor can give you the answer you seek. ...Read more
Genetic disease: It is a genetic disease that results from abnormalities in parts of the cells called mitochondria which carry out oxygen-dependent reactions. In this type, the patient has myoclonus: sudden jerks in arms and legs due to abnormal discharges in brain, usually without loss of consciousness and weakness in muscles. The abnormal mitochondria look like ragged fibers when examined under microscope. ...Read more
Seizure v epilepsy: The easy answer is that epilepsy is a condition of two or more unprovoked seizures. A myoclonic seizure is a single event, myoclonic epilepsy is the tendency to continue to have myoclonic seizures. Normally the two of these are associated though, since most people who have myoclonic seizures have myoclonic epilepsy or a similar form of epilepsy. ...Read more
Can you tell me in the summer I was diagnosed with juvenlie myoclonic epilepsy could a seizure happen at night?
First...: Although possible, it is DISTINCTLY uncommon to begin having seizures due to JME at 42. The syndrome comes on a puberty, and is genetic (autosomal dominant with variable penetrance). Second...yes. Although people with JME more often have seizures shortly after awakening, some can have seizures at night. I'd make sure an epilepsy subspecialist concurs with diagnosis. ...Read more
My daughter 27 years of age taking myclonic epilepsy drugs for last 17 years but no improvement kindly tell me some herbal treatment?
Sorry, no such Rx: There are no "herbal" or otc agents which work for what seems possibly to be juvenile myoclonic epilepsy. Not clear why she is not responding, but the best drugs are Depakote and keppra (levetiracetam). However, could also consider vagal nerve stimulator implantation. Suggest you get consultation from an epileptologist at a nearby medical school. ...Read more
Is there a type of epilepsy that causes contant parethesias all over, dizziness and myoclonic jerking? Have had this for 2 months. 34 years old
Epilepsy: Is recurrent unprovoked seizures. People with myoclonic jerks may have a type of Epilepsy. Anoic brain injury can cause myoclonic seizures. One also sees Myoclonic seizures as part of the Epilepsy syndrome Juvenille Myoclonic Epilepsy. If unsure consult a Neurologist who treats seizures. ...Read more
May have inherited epilepsy--generalized seizures on awakening, teen onset-- partial seizures with weird jaw sensation, too--possible myoclonic jerk?
? JME?: Not sure of your precise question, but will attempt an analysis. You may possess juvenile myoclonic epilepsy, and if correct, your best drugs might be either Depakote or keppra, (levetiracetam) (lamictal may not work quite as well here. Yet, you may be sub-therapeutic based on your description). Also, you seem to have several complexities, and I wonder how all these inter-relate. Go over this with neurologist. ...Read more
I think my daughter is having myoclonic seizures in her sleep is this dangerous? Her dad has epilepsy am taking her dads next app with videos worried
Seizure disorder: A visit to an neurologist is needed as is a brain wave test. ...Read more
Hi, I am experiencing myoclonic jerking but I don't have epilepsy or a brain tumor and my bloodresults were fine a while ago. What could it possibly?
Many reasons: Presumably you've seen a neurologist to rule out epilepsy or a brain tumor? Myoclonic jerks can be due to anxiety, head or spinal cord injuries, kidney or liver failure, chemical or drug poisoning, hypoxia, genetic condition, or other neurological condition. See your physician for evaluation if the symptoms worsen or become more frequent. Http://www. Medscape. Com/viewarticle/736674 ...Read more
Does CBD (Hemp) Oil Work with treating epilepsy?? Our daughter is having myoclonic seizures and is meds but looking for input on cannabis oil
Yes: It has been proven in some countries such as Isreal, that it works better with seizure patients than traditional meds. Esepcialy on children. But it has not yet been approved by the FDA. So we as doctors can not recommend it. Not Yet. If you use it you are doing it at your own risk. ...Read more
Maybe risky: If you are covered in a sun bed, and suffer sudden myoclonic jerks, you could get burned by contact with the lighting devices. If well controlled by a medication which is unlikely to cause solar hypersensitivity, perhaps it might be ok. But you live in la, why not get exposure to the real solar rays? ...Read more
Control, not cure: Most common variety is juvenile myoclonic epilepsy which does respond to several anti-epileptic meds, including depakote, keppra, maybe lamictal, maybe topamax, likely lyrica, probably vimpat, (lacosamide) and likely Potiga (but too new). Older drugs such as dilantin, tegretol, Trileptal make it worse! ...Read more
I am a medical student. I would like to know the difference between clonic and myoclonic seizure.
Myoclonus: Is a symptom of some epileptic and non epileptic syndromes (eg Juvenile Myoclonic Epilepsy, nocturnal myoclonus, etc) Because you are a medical student I would recommend you take 20 to 30 minutes to google both terms and if you end up spending 3 hours or more researching this I would be favorably impressed and say you are well on your way to becoming a kick ass doctor! ...Read more
Epileptic seizures. Per Mayo Clinic "Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of consciousness. " ...Read more