Abstract
Reading epilepsy as a new syndrome was first described in 1956 by Bickford et al., who classified their patients into two groups as primary and secondary. Symptoms of the primary group included: ( a) absence of pathological signs; ( b) seizures only following prolonged reading; ( c) prodromal sensation of the jaw or actual “jaw clicking”; ( d) generally normal resting EEG. Cases of secondary reading epilepsy were associated with more general epileptic disorder. To date, 24 cases, including the present one, have been reported. It is believed that the case herein described belongs in the category of primary reading epilepsy. The subject has had eleven seizures to date, all associated with reading and several preceded by stiffening or “quivering” of the jaw. Random 3/sec waves or 7/sec bursts have been noted on the EEG following prolonged periods of silent reading. The possible mechanisms causing seizures in association with reading are reviewed. The role of eyeball movements and/or eye strain might appear to be of some significance in the present case.
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