Stormy onset with prolonged loss of consciousness in benign childhood epilepsy with occipital paroxysms.

Kivity, Sara; Lerman, Pinchas

doi:10.1136/jnnp.55.1.45

Cited by 42 publications

(27 citation statements)

References 14 publications

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“…As reported previously [14], the seizures were often brief, while the loss of consciousness could last many hours. However, in two of our patients, EEG recordings during loss of consciousness did not show any epileptic disorders, but widespread slowing with low voltage.…”

Section: Discussionsupporting

confidence: 70%

“…Before this study, only Kivity and Lerman had described patients (9) with the same clinical picture of dramatic onset [14]. They concluded by suggesting the importance of EEG recordings made previously in aiding and clarifying the diagnosis.…”

Section: Discussionmentioning

confidence: 91%

“…Moreover, the stormy onset is a very rare type of presentation of CEOP, and there is only one study [14] on the long-term prognosis of CEOP with stormy onset. For this reason, we now describe six patients affected by CEOP with stormy onset with prolonged loss of consciousness who were followed for at least 7 years.…”

Section: Introductionmentioning

confidence: 99%

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Stormy onset of benign childhood epilepsy with occipital paroxysmal discharges

Verrotti

Domizio

Melchionda

et al. 2000

Child's Nervous System

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We studied six children with ages ranging from 4 to 10 years who were affected by childhood epilepsy with occipital paroxysms and presented after a stormy onset with prolonged loss of consciousness for 6-14 h. In all these patients, seizures were preceded by visual symptoms in the form of colored circular disks. A CT scan was performed immediately after the onset of symptoms and was normal in all patients. Routine laboratory and cerebrospinal fluid examinations were normal in all patients. The interictal EEG was characterized by continuous or subcontinuous occipital spike wave discharges, which disappeared after the patients' eyes opened. We carried out a 7-year follow-up of all these patients. Only two patients were treated with antiepileptic drugs. The therapy (phenobarbital, clobazam) in the two patients did not induce changes in the EEG pattern. The first did not suffer any further seizures. The second patient had two more seizures (at 8 and 18 months from the onset) with phosphenes, confusional state, and involuntary movements followed by loss of consciousness. Among the other four patients, who did not receive any treatment, only one had any other seizures. The stormy onset of the syndrome described in our six patients emphasizes the extreme variability in the presentation of this type of childhood epilepsy. Our follow-up confirms the good prognosis of this epilepsy even when it has a stormy onset.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 91%

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Stormy onset of benign childhood epilepsy with occipital paroxysmal discharges

Verrotti

Domizio

Melchionda

et al. 2000

Child's Nervous System

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“…Другим специфичным клиническим признаком, опи-санным при идиопатической затылочной эпилепсии детского возраста, был инсультоподобный эпилепти-ческий статус парциальных приступов с вегетативны-ми симптомами [18,35,40]. Чтобы подчеркнуть ва-риабельность проявлений доброкачественных фокальных эпилептических синдромов в детстве, С. Panayiotopoulos и его коллеги использовали термин «доброкачественный синдром детского возраста, пред-располагающий к приступам» [29,30].…”

Section: том хunclassified

Early Onset Benign Childhood Occipital Epilepsy (Panayiotopoulos Syndrome). A Case Report

Матюк¹,

Котов²,

Борисова³

et al. 2015

Rus. ž. det. nevrol.

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“…3). The association of prolonged seizures and tonic eye deviation and ictal vomiting (i.e., Panayiotopoulos-type CEOP) has been previously described (5,8,13,(35)(36)(37)(38), although one study (38) emphasized that the occipital spikes were not reactive to eye opening.…”

Section: Figmentioning

confidence: 99%

Childhood Epilepsy With Occipital Paroxysms: Clinical Variants in 134 Patients

2000

Epilepsia

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Summary:Purpose: In its recent proposal, the Commission on Classification and Terminology of the International League Against Epilepsy classified childhood epilepsy with occipital paroxysms (CEOP) into two syndromes with different predominant seizure types: early onset (Panayiotopoulos type) with eye deviation and ictal vomiting and late onset (Gastaut type) with initial ictal visual symptoms. We documented the clinical features of a large group of patients with CEOP to confirm whether the classification is justified.Methods: A file review of all patients with partial-onset seizure and interictal occipital spikes referred to our pediatric seizure unit between January 1975 and May 1997 yielded 134 who met the criteria for CEOP. Data were collected with a specially developed protocol and classified according to the two International League Against Epilepsy systems: (a) seizure classification, to test age-specific differences associated with the predominant seizure type, and (b) syndrome classification, to determine whether the clusters of signs and symptoms are sufficiently delineated.Results: Three groups were defined according to the predominant ictal manifestations. Group 1 (visual) consisted of 24 patients (17.9%) with ictal visual symptoms; 19 (14%) of these patients also had overlapping adversive manifestations, either as a separate seizure or as part of the same event (median age at first and last seizure, 7 years 11 months and 10 years). Group 2 (adversive) consisted of 72 patients (53.7%) with tonic eye deviation (median age at first and last seizure, 5 years 2 months and 7 years 2 months). Group 3 (nonvisual, nonadversive) consisted of 38 patients (28.4%) with various seizure spread patterns (median age at first and last seizure, 6 and 7 years 2 months). Two syndromes were identified. The Gastaut type included all 24 patients in the visual group (group 1); seizures were brief and frequent and were diurnal in 83%. The Panayiotopoulos type included all 72 patients in group 2; ictal eye deviation occurred in 100% of the patients and ictal vomiting in 44%; prolonged seizures were observed in 35% and were more frequent in patients who had ictal vomiting than in those who did not (46.8% versus 25%, respectively; p < 0.027). Seizures were infrequent; 24% of patients had a single seizure and 58% had nocturnal seizures. Onset was earlier than for the Gastaut type (p < 0.002). The 38 patients with nonoccipital manifestations did not satisfy the criteria for the complete form of either syndrome.Conclusions: The most common type of CEOP, the Panayiotopoulos type, is characterized by a cluster of signs and symptoms sufficiently delineated to justify their separate classification from Gastaut-type CEOP, despite the absence of ictal vomiting in more than 50% of the patients.

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Stormy onset with prolonged loss of consciousness in benign childhood epilepsy with occipital paroxysms.

Cited by 42 publications

References 14 publications

Stormy onset of benign childhood epilepsy with occipital paroxysmal discharges

Stormy onset of benign childhood epilepsy with occipital paroxysmal discharges

Early Onset Benign Childhood Occipital Epilepsy (Panayiotopoulos Syndrome). A Case Report

Childhood Epilepsy With Occipital Paroxysms: Clinical Variants in 134 Patients

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