Abstract

Background Juvenile myoclonic epilepsy (JME) which is among idiopathic generalized epilepsies presents with myoclonus and/or generalized tonic–clonic seizures during puberty. Electrophysiological studies showed findings at several levels including cortex, thalamus and spinal cord in JME. Given these information, we aimed to analyze electrophysiological findings at the level of brainstem using blink reflex (BR) and blink reflex recovery cycle (BR-RC). Methods Eighteen JME patients and age and sex matched 18 healthy volunteers are included in the study. BR and BR-RC with interstimulus intervals of 200 ms and 400 ms were recorded over orbicularis oculi on the nondominant side under the same conditions. Results JME patients had longer onset latencies ( p = 0.046) and higher amplitudes ( p = 0.022) of R2 component of BR. Recovery of responses after double stimulation with interstimulus interval of 400 ms was higher in JME patients ( p = 0.040). Use of valproate did not have an impact on reflex responses. Conclusion Our results support increased excitability of BR pathway in JME without relevant pathological findings regarding BR.

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