====== Differentiating between Ohtahara syndrome and Early Myoclonic Encephalopathy ====== ^ Classic differentiation between Ohtahara syndrome and early myoclonic epilepsy ^|| | Differentiation between [[content:ohtahara_syndrome]] and early myoclonic epilepsy ||| | | Ohtahara Syndrome | Early Myoclonic Encephalopathy | | EEG pattern | Continuous suppression burst | Discontinuous pattern, suppression burst not always evident at first, and often more distinct during sleep | | Primary seizure type | Tonic spasms | Myoclonus | | Other seizure types | Focal motor seizures Hemiconvulsions Generalized tonic-clonic seizures | Focal motor seizuresTonic spasms | | Major etiology | Structural lesions | Metabolic abnormalities | | Evolution of disease | 75% progress to West syndrome, 12% progress to [[content:lennox-gastaut_syndrome]] | Up to 50% develop transient atypical hypsarrhythmia, with subsequent return to the suppression burst pattern | Adapted from: {{pubmed>long:23044011}}