Gastaut type idiopathic childhood occipital epilepsy

Epileptic Disorders - Tập 15 - Trang 80-83 - 2013
Taissa Ferrari-Marinho1,2, Eugenia Fialho Macedo1, Rafael Scarpa Costa Neves1, Lívia Vianez Costa1, Ivanda S. S. Tudesco1, Kelly C. Carvalho1, Henrique Carrete3, Luis Otavio Caboclo1, Elza Marcia Yacubian1, Ana Paula Hamad1
1Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Paulo, Brazil
2Unidade de Pesquisa e Tratamento de Epilepsia (UNIPETE), Hospital São Paulo, Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, São Paulo-SP, Brazil
3Department of Imaging Diagnosis, Hospital São Paulo, Universidade Federal de São Paulo, Paulo, Brazil

Tóm tắt

Gastaut type idiopathic childhood occipital epilepsy is an uncommon epileptic syndrome characterised by frequent seizures, most commonly presenting as elementary visual hallucinations or blindness. Other occipital (non-visual) symptoms may also occur. Interictal EEG typically shows occipital paroxysms, often with fixation-off sensitivity. Ictal EEG is usually characterised by interruption by paroxysms and sudden appearance of low-voltage, occipital, fast rhythm and/or spikes. Despitewell described clinical and EEG patterns, to our knowledge, there are very few reports in the literature with video-EEG recording of either seizure semiology or fixation-off phenomena. We present a video-EEG recording of a 12-year-old girl with Gastaut type epilepsy, illustrating the interictal and ictal aspects of this syndrome. Our aim was to demonstrate the clinical and neurophysiological pattern of a typical seizure of Gastaut type epilepsy, as well as the fixation-off phenomena, in order to further clarify the typical presentation of this syndrome.

Tài liệu tham khảo

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