Beyond the blink: a case report on Jeavons syndrome
DOI:
https://doi.org/10.18203/2349-3291.ijcp20251890Keywords:
Epilepsy, Eyelid Myoclonus, EEG photosensitivityAbstract
Jeavons syndrome is a distinct syndrome characterized by the triad of eyelid myoclonia with or without absence seizures, eye closure induced generalized paroxysms, and EEG photosensitivity. We present a 5-year-old female child who was admitted for workup of high blood sugars. On evaluation child was diagnosed with type 1 diabetes mellitus (T1DM). At admission child had features of moderate diabetic ketoacidosis, requiring PICU admission for IV fluid correction and insulin infusion. Low C-peptide levels and elevated GAD antibodies confirmed the diagnosis of T1DM. Notably, the child had a 3-year history of eyelid myoclonus, prompting further evaluation. EEG revealed generalized 4-5 Hz spike-wave discharges with fixation-off phenomenon, leading to a diagnosis of Jeavons syndrome, a rare epileptic disorder. Child was started on antiepileptics. Now child is on regular follow up.
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