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Childhood occipital epilepsy of Gastaut: a study of 33 patients.
Epilepsia. 2008 Feb; 49(2):288-97.E

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.

Authors+Show Affiliations

Neurology Department, Hospital Nacional de Pediatría "Prof Dr Juan P Garrahan", Buenos Aires, Argentina. rhcaraballo@arnet.com.arNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17888075

Citation

Caraballo, Roberto Horacio, et al. "Childhood Occipital Epilepsy of Gastaut: a Study of 33 Patients." Epilepsia, vol. 49, no. 2, 2008, pp. 288-97.
Caraballo RH, Cersósimo RO, Fejerman N. Childhood occipital epilepsy of Gastaut: a study of 33 patients. Epilepsia. 2008;49(2):288-97.
Caraballo, R. H., Cersósimo, R. O., & Fejerman, N. (2008). Childhood occipital epilepsy of Gastaut: a study of 33 patients. Epilepsia, 49(2), 288-97.
Caraballo RH, Cersósimo RO, Fejerman N. Childhood Occipital Epilepsy of Gastaut: a Study of 33 Patients. Epilepsia. 2008;49(2):288-97. PubMed PMID: 17888075.
* Article titles in AMA citation format should be in sentence-case
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 -