Juvenile myoclonic epilepsy (JME) is an idiopathic primary generalized
epilepsy of teenagers, characterized by massive myoclonic seizures, 1
8 patients were investigated. Myoclonic seizures first appeared at the
mean age of 14 years and were characterized by short rapid abrupt inv
oluntary jerks of extremities with the preserved consciousness, There
were 2 types of myoclonic fits: massive seizures with symmetric jerks
of extremities (33% of patients) and asymmetric asynchronous seizures
of various frequency and intensity (67% of patients), In 50% of patien
ts there were myoclonic seizures in leg muscles, in some cases patient
s fell down (myoclonicastatic seizures), The authors emphasize the unu
sually high frequency of cases with myolonic seizures combined with ab
sences (66,7%) and generalized convulsions (83,3%) occurring on awaken
ing. It is suggested that myoclonic component in the structure of abse
nces may he an early sign of JME and predict development of myoclonic
seizures.