One or more of:
- Myoclonic jerks on waking and first hour of day, esp if tired
- Absences (typical) in about half
- Tonic-clonic, on waking and first hour of day, esp if tired
- Precipitated by alcohol, arousal!
- Mid teens, hence alcohol/arousal…
- 3-6 Hz spike and wave seen on EEG.
- Often photosensitive (40%), unlike Juvenile absence epilepsy.
- Very sensitive to valproate. Else lamotrigine, levetiracetam.
- Usually life long, despite the name.