Jeavons syndrome mimicking head nodding tic- A case report

Jeavons syndrome is an uncommon generalized epilepsy syndrome characterized by a triad of eyelid myoclonia with or without absences, as indicated by epileptiform discharges on electroencephalography (EEG) precipitated by eye closure and photosensitivity. Eyelid myoclonia is an ictal phenomenon manif...

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Main Authors: S. Sheetal, Nikhil Gladson, Rakesh John, Yamuna P. Kurup
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Annals of Movement Disorders
Subjects:
Online Access:https://doi.org/10.4103/aomd.aomd_39_23
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author S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
author_facet S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
author_sort S. Sheetal
collection DOAJ
description Jeavons syndrome is an uncommon generalized epilepsy syndrome characterized by a triad of eyelid myoclonia with or without absences, as indicated by epileptiform discharges on electroencephalography (EEG) precipitated by eye closure and photosensitivity. Eyelid myoclonia is an ictal phenomenon manifested as repeated fluttering or trembling of the eyelids or eyelid blinking, often precipitated by eye closure and light exposure. It has often been mistaken for eye-blinking tics. Myoclonic jerks involving the head, resembling a head shaking movement, may be observed in Jeavons syndrome, which may be misdiagnosed as a head nodding tic. Many case reports of this syndrome have incorrectly diagnosed eye blinking tics; however, misdiagnosis as head nodding tics is rarely reported. We report the case of a 10-year-old girl, referred to us for evaluation of head nodding tics, who was observed to have eyelid myoclonia and upward gaze deviation during photic stimulation. The patient’s EEG showed bursts of polyspike and wave discharges. She was diagnosed with Jeavons syndrome and was initiated on anti-epileptic agents.
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spelling doaj-art-7f96ac0077ee4d76abc4fe7db3e6245c2025-01-17T10:41:07ZengWolters Kluwer Medknow PublicationsAnnals of Movement Disorders2590-34462590-34542024-12-017320721010.4103/aomd.aomd_39_23Jeavons syndrome mimicking head nodding tic- A case reportS. SheetalNikhil GladsonRakesh JohnYamuna P. KurupJeavons syndrome is an uncommon generalized epilepsy syndrome characterized by a triad of eyelid myoclonia with or without absences, as indicated by epileptiform discharges on electroencephalography (EEG) precipitated by eye closure and photosensitivity. Eyelid myoclonia is an ictal phenomenon manifested as repeated fluttering or trembling of the eyelids or eyelid blinking, often precipitated by eye closure and light exposure. It has often been mistaken for eye-blinking tics. Myoclonic jerks involving the head, resembling a head shaking movement, may be observed in Jeavons syndrome, which may be misdiagnosed as a head nodding tic. Many case reports of this syndrome have incorrectly diagnosed eye blinking tics; however, misdiagnosis as head nodding tics is rarely reported. We report the case of a 10-year-old girl, referred to us for evaluation of head nodding tics, who was observed to have eyelid myoclonia and upward gaze deviation during photic stimulation. The patient’s EEG showed bursts of polyspike and wave discharges. She was diagnosed with Jeavons syndrome and was initiated on anti-epileptic agents.https://doi.org/10.4103/aomd.aomd_39_23eyelid myocloniahead nodding ticjeavons syndromephotosensitivity
spellingShingle S. Sheetal
Nikhil Gladson
Rakesh John
Yamuna P. Kurup
Jeavons syndrome mimicking head nodding tic- A case report
Annals of Movement Disorders
eyelid myoclonia
head nodding tic
jeavons syndrome
photosensitivity
title Jeavons syndrome mimicking head nodding tic- A case report
title_full Jeavons syndrome mimicking head nodding tic- A case report
title_fullStr Jeavons syndrome mimicking head nodding tic- A case report
title_full_unstemmed Jeavons syndrome mimicking head nodding tic- A case report
title_short Jeavons syndrome mimicking head nodding tic- A case report
title_sort jeavons syndrome mimicking head nodding tic a case report
topic eyelid myoclonia
head nodding tic
jeavons syndrome
photosensitivity
url https://doi.org/10.4103/aomd.aomd_39_23
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AT yamunapkurup jeavonssyndromemimickingheadnoddingticacasereport