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Absence status epilepticus with perioral myoclonia (EEG)

From the EEG of a 23-year-old woman while in perioral myoclonia absence status epilepticus. She was mildly confused with continuous perioral twitching. This ended with a GTCS. Initial presentation at age 11 years was with GTCS. Absences with perioral myoclonia were noted at the same time and were diagnosed as focal motor seizures. (Used with permission from: Panayiotopoulos CP. A Clinical Guide to Epileptic Syndromes and Their Treatment. Revised 2nd ed. London: Springer, 2010.)