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Eyelid myoclonia seizures are ictal manifestations and not attempts for self-induction of seizures

(Sequence 1) Eyelid myoclonia occurred in this woman on her wedding day while stepping out of the car into the sun. (Sequence 2) Video-EEG documentation of 3 seizures of eyelid myoclonia with absences. Note that (1) the onset of EEG discharge precedes the eyelid manifestations and (2) similar clinico-EEG events occur when the eyes are closed. (Used with permission from: Panayiotopoulos CP. Idiopathic generalized epilepsies with myoclonic jerks. Oxford: Medicinae, 2007.)

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