Eyelid myoclonia with absences (Jeavons syndrome): still an overlooked epilepsy syndrome. Comments to Covanis review in this issue of Journal of Epileptology

Prognosis of Juvenile myoclonic epilepsy with eye-closure sensitivity

“…The correlation of EEG with EM is variable from no changes in milder, "abortive" EM [10] to generalized spike and polyspike and wave complexes [35]. In this sense, we strongly disagree with Striano and Striano's assertion [53] that "some patients may show persistence of eyelid fluttering even without concomitant EEG abnormalities, probably as a behavioral habit in subjects with a previous history of self-induced seizures." It would be risky to assume that EM is not epileptic in nature because there are no EEG changes [10,54].…”