Electroencephalography, particularly video-electroencephalography, was invaluable in the diagnosis, but focal abnormalities in seven patients might have been erroneously interpreted as indicating partial seizures. Satisfactory control was achieved with sodium valproate. Absence seizures were frequently unrecognised or misdiagnosed as complex partial seizures. Absence status occurred in five patients. Eyelid myoclonus consistently occurred with absence attacks in four patients and perioral myoclonus in two patients. Myoclonic jerks of the limbs occurred in 11 patients but were not associated with the absence attacks. Twenty patients also had generalised tonic-clonic seizures, ranging in frequency from one in a lifetime to one per month. The absences began between the ages of seven and 46 years and varied in type and severity. These included 10% of a consecutive hospital series of 200 adult patients with epileptic disorders. Eighteen women and five men had typical absences.
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