Benign Nocturnal Childhood Occipital Epilepsy: A New Syndrome with Nocturnal Seizures, Tonic Deviation of the Eyes, and Vomiting

Journal of Child Neurology - Tập 4 Số 1 - Trang 43-49 - 1989
C. P. Panayiotopoulos1, Jean Aicardi1
1Department of Neurology, King Khalid University Hospital, Riyadh, Saudi Arabia

Tóm tắt

An epileptic syndrome of benign nocturnal childhood occipital epilepsy with excellent prognosis is described. The syndrome is characterized by a clinical ictal triad of nocturnal seizures, tonic deviation of the eyes, and vomiting. There may be marching to involve the head and limbs, ending with a generalized tonic-clonic seizure. Consciousness is usually, but not invariably, disturbed. Infrequent daytime fits may develop one to two years after remission of the nocturnal seizures. Age of onset is usually from 3 to 5 years. Both sexes are involved. There is no family history of epilepsy or migraine. No definite causative factor was detected. The frequency of the seizures is very low with two children having only solitary ones. The interictal electroencephalographic features consist of repetitive occipital spike and slow wave complexes that are induced by closed eyes and darkness and are inhibited by open eyes and fixation with visual cues. It is proposed that this is a new idiopathic age-related-onset syndrome of the localization-related epilepsies. (J Child Neurol 1989;4:43-48).

Từ khóa


Tài liệu tham khảo

Gibbs FA , Gibbs EL: Epilepsy, Atlas of Electroencephalography , vol 2. Reading, MA, Addison-Wesley Publishing Co, 1952, pp 222-224.

10.1212/WNL.28.6.584

10.1212/WNL.30.10.1122

Gastaut H., 1982, Neurophysiol, 12, 179

10.1111/j.1528-1157.1985.tb05417.x

Gastaut H. : Benign epilepsy of childhood with occipital paroxysms, in Roger J, Dravet C, Bureau M, Dreifuss FE, Wolf P (eds): Epileptic Syndromes in Infancy, Childhood and Adolescence. London, John Libbey Eurotext Ltd, 1985, pp 159-170.

10.1212/WNL.31.10.1331

10.1212/WNL.33.4.523-a

Jackson JH, Lancet, 1866, 311

10.1159/000115535

Panayiotopoulos CP, 1987, Difficulties in differentiating migraine and epilepsy based on clinical and EEG findings

10.1002/ana.410220120

Panayiotopoulos CP, 1989, J Child Neurol, 4, 43, 10.1177/088307388900400107

10.1212/WNL.31.10.1331

Aicardi J., 1986, Epilepsy in Children

10.1016/S0370-4475(87)80119-3

10.1212/WNL.32.2.209

10.1016/S0370-4475(83)80076-8

10.1212/WNL.36.2.281

Gastaut H. : Benign epilepsy of childhood with occipital paroxysms, in Roger J, Dravet C, Bureau M, Dreifuss FE, Wolf P (eds): Epileptic Syndromes in Infancy, Childhood and Adolescence, London, John Libbey Eurotext Ltd, 1985, pp 159-170.

10.1111/j.1528-1157.1985.tb05417.x

10.1159/000115535

Terasaki T. , Yamatogi Y., Ohtahara S.: Electroclinical delineation of occipital lobe epilepsy in childhood , in Andermann F, Lugaresi E (eds): Migraine and Epilepsy. London , Butterworth Publishers Inc, 1987, pp 125-137.

10.1212/WNL.37.6.993

10.1212/WNL.33.11.1526

Thông tin
Thông tin xuất bản

Journal of Child Neurology

Tập 4 Số 1

43-49

Thông tin tác giả