Document Detail

Childhood occipital epilepsy: seizure manifestations and electroencephalographic features.
MedLine Citation:
PMID:  9339869     Owner:  NLM     Status:  MEDLINE    
Childhood epilepsy with occipital paroxysms (CEOP) is an idiopathic localization-related epilepsy. A typical seizure in CEOP begins with visual symptoms, followed by hemiclonic seizures, complex partial seizures or generalized tonic-clonic seizures. Benign nocturnal childhood occipital epilepsy (BNCOE), characterized by nocturnal seizures with tonic deviation of the eyes followed by vomiting, has the same electroencephalographic features as CEOP. In this study, we report the seizure symptoms and electroencephalographic features of 21 cases with CEOP or BNCOE. Out of these patients, nine had BNCOE, six had CEOP, four had CEOP and BNCOE and the remaining two belonged to the incomplete syndrome because of no paroxysmal discharges in EEG. When the patients with BNCOE awoke from sleep, they had tonic deviation of the eyes and could describe visual symptoms. Patients with CEOP had seizures beginning with visual symptoms followed by loss of consciousness but no generalized convulsions. In three cases, in addition to the occipital spikes, independent centro-temporal spikes were recorded and in another three cases generalized spike-wave discharges were recorded. Such a combination suggests the idiopathic nature of these epilepsies. We concluded that in the diagnosis of CEOP and BNCOE, the seizure symptomatology is important even if the EEG can be considered normal.
A D Yalçin; A Kaymaz; H Forta
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Brain & development     Volume:  19     ISSN:  0387-7604     ISO Abbreviation:  Brain Dev.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-26     Completed Date:  1997-11-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7909235     Medline TA:  Brain Dev     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  408-13     Citation Subset:  IM    
Department of Neurology, Sişli Etfal Education Hospital, Istanbul, Turkey.
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MeSH Terms
Anticonvulsants / therapeutic use
Child, Preschool
Epilepsy / etiology,  genetics,  physiopathology*
Occipital Lobe / physiopathology*
Seizures / physiopathology*
Reg. No./Substance:

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