14. The Shifting Landscape: The Evolution of Myoclonic Epilepsy Over Time
The progression of myoclonic epilepsy can vary significantly depending on the subtype and individual factors. Understanding this progression is important for managing expectations, planning for the future, and ensuring that necessary supports are in place.
For some individuals with myoclonic epilepsy, seizures may decrease in frequency over time, or even cease entirely. This is particularly true in cases of Juvenile Myoclonic Epilepsy, where many individuals experience a decrease in seizure frequency into adulthood, although lifelong treatment is often required.
However, in conditions like the Progressive Myoclonus Epilepsies, the disorder can become more severe over time. Seizures may become more frequent or difficult to control, and there may be a progressive decline in cognitive and motor abilities. In these cases, management focuses on optimizing quality of life and providing supportive care.
In other instances, the course of myoclonic epilepsy can be variable, with periods of relative stability interspersed with times of increased seizure activity. Fluctuations can be influenced by a variety of factors, including stress, illness, hormonal changes, and changes in medication. (14)
