Juvenile myoclonus (JME) is a form of idiopathic generalized epilepsy. It is composed of a triad: akathisia, myoclonic seizures, and generalized tonic clonic seizures. The age of onset is 8-26 years, with a peak age of onset of 12-18 years. Neurological and imaging examinations are often unremarkable, and intelligence is normal. Myoclonus is mainly manifested by electric shock-like movements of both upper limbs, such as sudden rapid jerking, irregular and rhythmical, which can cause the patient to drop things suddenly, and in mild cases, it only manifests as clumsy hands or a feeling of electricity, and in severe cases, it can lead to sudden collapse. Myoclonus can be a single seizure or a continuous seizure, the seizure mostly occurs in the early morning after waking up for a period of time, the patient usually gets up to dress, wash, or use breakfast, due to continuous irregular twitching manifested as unstable movements, such as shivering when dressing, throwing away spoons or chopsticks, the twitching of the lower limbs will manifest as sudden unstable walking, such as tripping or a sudden bending of the knee, or falling, most patients symptoms Most patients have mild symptoms and are usually not taken seriously by the patient and family until a full-blown tonic clonic seizure occurs, which can cause a delay in diagnosis for months or even years if the doctor does not deliberately ask about it during the visit and the patient and family do not provide it. One of our patients, a 17-year-old female, was diagnosed with “mental illness” by a local hospital for two years due to the above symptoms, and took time off from school for it. Another 50-year-old male patient who came to our hospital seeking surgical treatment was finally diagnosed with this disease by long-range video EEG monitoring and given the correct treatment, and the girl is now attending school normally. Patients with JME are often combined with one or two other seizures, 87-95% of them are combined with generalized tonic clonic seizures, mostly appearing 1-3 years after myoclonic symptoms, a few appearing more than 10 years or even decades later, mainly appearing during the waking period with rare frequency, sometimes after continuous myoclonus, 28% of them are accompanied by akathisia seizures with mild degree and short duration, which are not easily detected, some patients are Some patients are detected during EEG monitoring. Factors that can trigger seizures: late nights, lack of sleep, fatigue, excessive alcohol consumption, mental emergencies: excitement and concentration, and online games can also trigger them. JME attacks are easily controlled, but the recurrence rate after stopping medication is about 80%, and most patients need to take medication for life. A small number of patients can be refractory to epilepsy if not treated appropriately. Treatment: Choose valproic acid, lamotrigine, or zofranilacetam. Keep in mind: Although carbamazepine, oxcarbazepine and phenytoin sodium are also antiepileptic drugs, they are not only ineffective but may aggravate the condition when used in such patients. Therefore, when you suspect that you have epilepsy, you must first go to a regular hospital to consult and clarify which type of epilepsy it is before choosing the correct medication to avoid delay.