Drop attacks and epileptic syndromes.

1. In addition to 4 types of drop attacks previously described by Ikeno et al., we could ascertain the falls of the myoclonic-tonic type in genuine drop attacks. The genuine drop attacks were seen in Lennox-Gastaut syndrome, epilepsy with myoclonic-astatic seizures and other symptomatic generalized epilepsies, and never in partial epilepsies. 2. None of the patients with partial epilepsy revealed genuine drop attacks as defined. Their drop attacks were slower (i.e. the falls were completed in more than 1 sec.). 3. In the 15 patients with Lennox-Gastaut syndrome, the drop attacks disappeared in 8 patients, and decreased in severity and frequency in 3 patients. Namely, the intractability of drop attacks in two-thirds of the children decreased as the patients grew older. This finding must be taken into consideration when patients with drop attacks are considered for surgical treatment of their epilepsy.