Publication:

Beyond the blink: a case report on Jeavons syndrome

Jeavons syndrome is a distinct syndrome characterized by the triad of eyelid myoclonia with or without absence seizures, eye closure induced generalized paroxysms, and EEG photosensitivity. We present a 5-year-old female child who was admitted for workup of high blood sugars. On evaluation child was diagnosed with type 1 diabetes mellitus (T1DM). At admission child had features of moderate diabetic ketoacidosis, requiring PICU admission for IV fluid correction and insulin infusion. Low C-peptide levels and elevated GAD antibodies confirmed the diagnosis of T1DM. Notably, the child had a 3-year history of eyelid myoclonus, prompting further evaluation. EEG revealed generalized 4-5 Hz spike-wave discharges with fixation-off phenomenon, leading to a diagnosis of Jeavons syndrome, a rare epileptic disorder. Child was started on antiepileptics. Now child is on regular follow up.