Absence seizures associated with myoclonic phenomena have been associated with 4 seizure types. Recently, a new seizure type of neck myoclonia with absences was described. We present a case of 9-year-old girl who presented with abnormal head shaking and vacant stare for the past 5 months with an ictal electroencephalograph (EEG) record showing 3-Hz spike-and-wave discharges. The seizures were easily controlled with valproate and clobazam. Neck myoclonia with absences might be a new idiopathic generalized epilepsy syndrome in development.
BergATBerkovicSFBrodieMJ. Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia. 2010;51:676–685.
2.
BureauMTassinariCA. Epilepsy with myoclonic absences. Brain Dev. 2005;27:178–184.
3.
AppletonREPanayiotopoulosCPAcombBABeirneM. Eyelid myoclonia with typical absences: an epilepsy syndrome. J Neurol Neurosurg Psychiatry. 1993;56:1312–1316.
4.
BilgiçBBaykanBGürsesCGökyiğitA. Perioral myoclonia with absence seizures: a rare epileptic syndrome. Epileptic Disord Int Epilepsy J Videotape. 2001;3:23–27.
5.
RubboliGGardellaECapovillaG. Idiopathic generalized epilepsy (IGE) syndromes in development: IGE with absences of early childhood, IGE with phantom absences, and perioral myoclonia with absences. Epilepsia. 2009;50(suppl 5):24–28.
6.
YangZLiuXQinJJiangY. Neck myoclonia with absence seizures: report of 3 cases. J Child Neurol. 2009;24:1026–1029.
7.
PanayiotopoulosC. A Clinical Guide to Epileptic Syndromes and Their Treatment. 2nd ed. New York: Springer; 2011.
8.
CapovillaGRubboliGBeccariaF. A clinical spectrum of the myoclonic manifestations associated with typical absences in childhood absence epilepsy. A video-polygraphic study. Epileptic Disord Int Epilepsy J Videotape. 2001;3:57–62.
