Do you use alcohol to trigger seizures in patients you suspect to have JME to confirm diagnosis?

In the EMU, I use ETOH as a seizure trigger, if the patient tells me drinking alcohol makes them have a seizure or they have one the next day. I do this regardless of their epilepsy syndrome, not specifically for JME.

I would agree that EMU monitoring and seizure provocation should not be necessary in a patient with JME. Many patients with genetic generalized/generalized spike-wave trait on EEG may have concomitant or exclusively non-epileptic events. these are the only patients with a characteristic interictal E...

JME is a clinical diagnosis that can be ascertained via thorough history in combination with an EEG demonstrating characteristic interictal findings irrespective of alcohol induction. A recent investigation by Emmert et al., PMID 38070406 into the utility of alcohol as an activating procedure during...