Crisi riflesse da scrittura in 2 sorelle con epilessia mioclonica giovanile = Writing reflex seizure in two sibling with juvenile myoclonic epilepsy

We report on two siblings with juvenile myoclonic epilepsy, in whom jerks of right arm and hand were triggered by writing. On video-EEG monitoring, we illustrated that reflex epileptic myoclonus was more easily triggered by writing that required a higher degree of concentration. These results further support the notion that "praxis-induced" reflex epilepsy occurs in the context of idiopathic generalized epilepsy. Our results also illustrate that writing tasks are more effective in eliciting seizures, when they require higher levels of concentration and mental elaboration.