Abstract
PURPOSE
To characterize the electroclinical features and evolution of childhood occipital epilepsy of Gastaut (COE-G).
METHODS
Children with electroclinical criteria of COE-G were retrospectively identified and followed-up clinically, and with sleep and awake EEGs between 1990 and 2007.
RESULTS
We identified 33 patients with COE-G. In the same length of time, 201 children with Panayiotopoulos syndrome and 410 children with benign childhood epilepsy with centrotemporal spikes were registered. COE-G had a peak age at onset of 8.5 years. Visual manifestations were the most common ictal event. Ictal deviation of the eyes was frequent. Approximately half of the patients had migraine-like symptoms. In all patients the seizures occurred while awake, and 11 also had seizures during sleep. The majority of the patients had occipital spike-wave discharges when the eyes were closed that disappeared or attenuated when the eyes were opened. Prognosis was excellent in 80% of the cases.
CONCLUSION
This study confirms the existence of COE-G, a rare but well-defined syndrome within the group of idiopathic focal epilepsies in childhood.
TY - JOUR
T1 - Childhood occipital epilepsy of Gastaut: a study of 33 patients.
AU - Caraballo,Roberto Horacio,
AU - Cersósimo,Ricardo Oscar,
AU - Fejerman,Natalio,
Y1 - 2007/09/19/
PY - 2007/9/25/pubmed
PY - 2008/3/25/medline
PY - 2007/9/25/entrez
SP - 288
EP - 97
JF - Epilepsia
JO - Epilepsia
VL - 49
IS - 2
N2 - PURPOSE: To characterize the electroclinical features and evolution of childhood occipital epilepsy of Gastaut (COE-G). METHODS: Children with electroclinical criteria of COE-G were retrospectively identified and followed-up clinically, and with sleep and awake EEGs between 1990 and 2007. RESULTS: We identified 33 patients with COE-G. In the same length of time, 201 children with Panayiotopoulos syndrome and 410 children with benign childhood epilepsy with centrotemporal spikes were registered. COE-G had a peak age at onset of 8.5 years. Visual manifestations were the most common ictal event. Ictal deviation of the eyes was frequent. Approximately half of the patients had migraine-like symptoms. In all patients the seizures occurred while awake, and 11 also had seizures during sleep. The majority of the patients had occipital spike-wave discharges when the eyes were closed that disappeared or attenuated when the eyes were opened. Prognosis was excellent in 80% of the cases. CONCLUSION: This study confirms the existence of COE-G, a rare but well-defined syndrome within the group of idiopathic focal epilepsies in childhood.
SN - 0013-9580
UR - https://www.unboundmedicine.com/medline/citation/17888075/Childhood_occipital_epilepsy_of_Gastaut:_a_study_of_33_patients_
L2 - https://doi.org/10.1111/j.1528-1167.2007.01322.x
DB - PRIME
DP - Unbound Medicine
ER -