“…Video-EEG and polygraphic recordings provide us with a detailed analysis of such MS. Interictal EEG usually shows normal background activity during wakefulness; however, this was not the case for 10 reported cases (Deonna, 1998;Kurian and King, 2003;Capovilla et al, 2007;Verrotti et al, 2013) in which bursts of generalised polyspike-wave (PSW) and centro-temporal spike (CTS) activity, occurring spontaneously and without any clinical correlates, were reported. Sleep recordings show a normal organisation of sleep; in 42 reported patients, sleep was characterised by rare, generalised irregular PSW discharges, usually accompanied by brief and irregular myoclonic jerks (Deonna, 1998;Fernández-Lorente et al, 1999;Caraballo et al, 2003;Capovilla et al, 2007;Verrotti et al, 2013). MS are always associated with an EEG discharge of generalised, high-amplitude spike-wave (SW) or PSW activity of more than 3 Hz, with fronto-central predominance, lasting for 0.5-3 seconds and synchronous with brief rhythmic bursts of electromyographic (EMG) activity (figures 1 and 2).…”