{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:58:38Z","timestamp":1791223118513,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,4,24]],"date-time":"2014-04-24T00:00:00Z","timestamp":1398297600000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>We report the case of 62\u2010year\u2010old woman referred to our department because of a clinical suspicion of tonic\u2010clonic seizures. Clinical examination revealed an exaggerated startle reflex, EEG showed a photomyoclonic response, and blood tests indicated severe hypocalcaemia. Additional clinical data, treatment strategies, and long\u2010term follow\u2010up visits were reported. The present report discusses the difficulties in distinguishing between epileptic and non\u2010epileptic startles, and shows, for the first time, exaggerated startle reflex and extreme photomyoclonic response due to severe hypocalcaemia. [<jats:italic>Published with video sequences<\/jats:italic>]<\/jats:p>","DOI":"10.1684\/epd.2014.0638","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T13:24:44Z","timestamp":1564752284000},"page":"84-87","source":"Crossref","is-referenced-by-count":7,"title":["Extreme startle and photomyoclonic response in severe hypocalcaemia"],"prefix":"10.1002","volume":"16","author":[{"given":"Marcello","family":"Moccia","sequence":"first","affiliation":[{"name":"Epilepsy Centre, Department of Neuroscience, Reproductive Science and Odontostomatology Federico II University  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Erro","sequence":"additional","affiliation":[{"name":"Sobell Department of Motor Neuroscience and Movement Disorders University College London (UCL) Institute of Neurology  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elvira","family":"Nicolella","sequence":"additional","affiliation":[{"name":"Epilepsy Centre, Department of Neuroscience, Reproductive Science and Odontostomatology Federico II University  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Striano","sequence":"additional","affiliation":[{"name":"Pediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health University of Genoa, \u201cG Gaslini\u201d Institute  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Striano","sequence":"additional","affiliation":[{"name":"Epilepsy Centre, Department of Neuroscience, Reproductive Science and Odontostomatology Federico II University  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1984.tb03482.x"},{"key":"e_1_2_6_3_1","first-page":"29","article-title":"La syncin\u00e9sie\u2010sursaut et l\u2019\u00e9pilepsie sutsaut \u00e0 d\u00e9clenchement sensorial ou sensitive inopin\u00e9. 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