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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

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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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
Copyright: Copyright: © 2015 NRTOA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, Version 3.0, which permits
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