This Article Full Text (PDF) All Versions of this Article: 0009922807307871v1 47/3/224    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Shahar, E. Articles by Genizi, J. Search for Related Content PubMed PubMed Citation Articles by Shahar, E. Articles by Genizi, J. Social Bookmarking                         What's this?

Childhood Epilepsy With Occipital Paroxysms: Variations on the Theme

Child Neurology Unit & Epilepsy Service, Meyer Children's Hospital, Rambam Medical Center, Rappaport School of Medicine, Haifa, Israel, e_shahar{at}rambam.health.gov.il

Jacob Genizi, MD

Child Neurology Unit & Epilepsy Service, Meyer Children's Hospital, Rambam Medical Center, Rappaport School of Medicine, Haifa, Israel

This review reports on the various presentations as well as new revealed data relating to the epileptic disorder defined as childhood epilepsy with occipital paroxysms characterized by occipital epileptic discharges recorded by electroencephalography. The initial rigidly delineated subtypes by the International League Against Epilepsy included the following: (a) Panayiotopoulos syndrome—early-onset seizure disorder presenting with prolonged infrequent, nocturnal autonomic seizures, accompanied by eye deviation and ictal vomiting. (b) Gastaut syndrome—late-onset type presenting with short diurnal frequent seizures and visual ictal manifestations along with migrainous headaches. A high percentage of children present, however, with mixed clinical phenomena making it difficult to comply with the rigidly segregated syndromes reported by several authorities including our recent report on 28 children of whom 14 showed mixed phenomena. Therefore, childhood epilepsy with occipital paroxysm should be suspected at any age presenting with nocturnal vomiting, autonomic impairment, focal motor fits with head deviation, migraine headaches, and/or visual perturbations.

Key Words: childhood epilepsy with occipital paroxysms • early-onset benign childhood occipital seizure (EBOS) • Gastaut syndrome • late-onset benign childhood occipital seizures • carbamazepine

This version was published on April 1, 2008

Clinical Pediatrics, Vol. 47, No. 3, 224-227 (2008)
DOI: 10.1177/0009922807307871


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				A. Covanis Correspondence on "Childhood Epilepsy With Occipital Paroxysms: Difficulties in Distinct Segregation Into Either the Early-Onset or Late-Onset Epilepsy Subtypes" J Child Neurol, September 1, 2008; 23(9): 1085 - 1086. [PDF]