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Age and Ageing Advance Access originally published online on January 13, 2006
Age and Ageing 2006 35(2):194-196; doi:10.1093/ageing/afj024
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© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Juvenile myoclonic epilepsy in an elderly patient

Saiju Jacob1, Darren Martin2 and Yusuf A. Rajabally1,2

1 Department of Neurology and 2 Department of Neurophysiology, Leicester General Hospital, University Hospitals of Leicester, Leicester LE5 4PW, UK

Address correspondence to: Y. A. Rajabally. Tel: (+44) 116 258 4574. Fax: (+44) 116 258 4875. Email: yusuf.rajabally{at}uhl-tr.nhs.uk

Abstract

Juvenile myoclonic epilepsy constitutes 5–10% of idiopathic generalised epileptic syndromes. The clinical triad of absence seizures, myoclonic jerks and generalised tonic clonic seizures (GTCS) rarely begin after the second decade of life. We present the case of a 74-year-old lady presenting for the first time with myoclonic jerks and absences. The electro encephalogram revealed generalised polyspike and wave epileptiform activity with photosensitivity. On close questioning, she appeared to have had a single episode of GTCS at the age of 10. She remained asymptomatic for 64 years before the diagnosis was made. Although rare, idiopathic myoclonic epilepsy could remain asymptomatic for decades and can present in the elderly. Proper classification of this epileptic syndrome, even in the elderly, is essential in view of the response to appropriate antiepileptic therapy.

Keywords: juvenile myoclonic epilepsy, elderly

Received August 17, 2005; accepted in revised form October 17, 2005.


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