Electroencephalography (EEG): (a) Generalized myogenic artifact is seen throughout the record. (b) Following sedation and paralytic, generalized periodic discharges were seen. She was loaded with levetiracetam without improvement in the CEEG. (c) She was subsequently loaded with 32 mg of perampanel. (d) Two hours post load, her myoclonus had improved. CEEG, however, continued to show the generalized periodic discharge. Bitemporal montage, sens 7 uV, Lf 1.6 Hz, HF 70 Hz, 15 s epoch.