Juvenile Myoclonic Epilepsy in Rural Western India: Not Yet a Benign Syndrome

Table 1

Pitfalls in diagnosis and treatment.

	Number percentage
Pitfalls in diagnosis
Absence of prior neurology consultation	42 (81.1%)
Missed history of myoclonus in prior consults	39 (73.5%)
Prior EEG showing focal discharges	15 (28.3%)
Prior EEG being normal	16 (30.1%)
Misinterpreted EEG	10 (18.8%)
Pitfalls in treatment
Incorrect antiepileptic (AED) drug use	37 (69.8%)
Underdosing of AED	21 (39.6%)
Noncompliance with lifestyle	24 (45.3%)
Noncompliance with medicines	18 (33.9%)
Associated psychogenic nonepileptiform events	9 (16.9%)
Patients deliberately missing medicines for secondary gain	8 (15.1%)
Concomitant alternative medicine use	18 (33.9%)