Eyelid Myoclonia with Absences (EMA) can often be
clinically mistaken for a tic disorder. This case report
describes a 4-year-old female who presented with eye
fluttering and blinking accompanied by a hand gesture
described as a “brow wipe” that was exacerbated by
sunlight, warm temperatures, anxiety, and excitement. She
was diagnosed with a transient tic disorder, and aripiprazole
and clonazepam treatment partially decreased symptom
intensity. She was stable for months, after which symptoms
worsened with constant tics while in the sun and seeking
light stimuli to induce an episode. Video electroencephalogr -am confirmed self-induced photosensitive seizures with
generalized epileptiform discharges consistent with
generalized seizures. The EMA diagnosis was confirmed by
these characteristic eye closure-related discharges, and the
patient was successfully treated with valproate. We also
present a brief review of the literature that underscores the
clinical similarities between EMA and tics, as well as the
importance of timely implementation of appropriate
treatment in EMA.
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Differentiation between Complex Tic and Eyelid Myoclonia with Absences: Pediatric Case Report and Brief Review of the Literature
Diana M Gerardi1, Caroline De Oleo Brozyna2, S Parrish Winesett3, 4, Maria Gieron Korthals1, 3 and Tanya Murphy1, 2*
Corresponding Author: Tanya Murphy
Received: Jan 05, 2015
Accepted: Feb 28, 2015
Published: Mar 04, 2015
Views: 3
DOI: 10.14437
Abstract
Tanya Murphy (2015), Differentiation between Complex Tic and Eyelid Myoclonia with Absences: Pediatric Case
Report and Brief Review of the Literature. Neurol Res Ther Open Access 2:111
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Copyright: © 2015 NRTOA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, Version 3.0, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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