We studied the seizure and polygraphic patterns of 18 patients with An
gelman's syndrome. All patients showed movement problems. Eleven patie
nts were also reported to have long-lasting periods of jerky movements
. The polygraphic recording showed a myoclonic status epilepticus in n
ine of them. Seven patients had partial seizures with eye deviation an
d vomiting, similar to those of childhood occipital epilepsies. These
seizures and electroencephalographic patterns suggest that Angelman's
syndrome occurs in most of the patients as a nonprogressive, age-depen
dent myoclonic encephalopathy with a prominent occipital involvement.
These findings indicate that, whereas ataxia is a constant symptom in
Angelman's syndrome, the occurrence of a transient myoclonic status ep
ilepticus may account for the recurrence of different abnormal movemen
ts, namely the jerky ones.