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. 2018 Aug 13;10(8):e3134. doi: 10.7759/cureus.3134

Table 1. Differential diagnosis of Lennox-Gastaut syndrome.

Syndrome Age of onset Seizure type EEG findings
Ohtahara Syndrome  (epileptic encephalopathy) First three months (usually within first 10 days of birth) Tonic/clonic, clonic, myoclonic, atonic, absences, partial, complex partial (with or without secondary generalization) Burst and suppression pattern during both waking and sleeping states.
West Syndrome (epileptic encephalopathy) 4–6 months Epileptic spasms Hypsarrthymia
Dravet Syndrome (severe myoclonic epilepsy) First year Focal or secondarily generalized with fever in infancy; myoclonus after 1 year of age Often normal at onset; generalized spikes/polyspikes activated with a photic stimulation
Pseudo-Lennox-Gastaut Syndrome (atypical benign partial epilepsy) Early childhood Atypical absence, myoclonus, atonic, and focal seizures Rolandic sharp waves, multifocal sharp waves, electrical status epilepticus in sleep
Doose Syndrome (myoclonic-atonic epilepsy) Early childhood Myoclonic-atonic, myoclonus, and atypical absence 2–3 Hz generalized spike-waves, photo-paroxysmal response
Electrical Status Epilepticus during Slow Sleep (ESES) Two months - 12 years (peak age 4 and 5 years) Unilateral or bilateral clonic, generalized tonic-clonic, absences, complex partial seizures, with or without drop attacks Spikes and waves occurring almost continuously during slow sleep (subclinical)
Acquired Epileptic Aphasia Landau-Kleffner Syndrome (LKS) 18 months – 13 years Generalized tonic-clonic seizures Paroxysmal electroencephalographic changes and little or no language development
Juvenile Myoclonic Epilepsy Adolescence Myoclonic jerks with or without generalized tonic-clonic seizures and/or absence seizures 3-5 Hz generalized spike waves and polyspikes with normal background activity