Original article| Volume 23, ISSUE 6, P401-405, October 2001

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Clinical and electroencephalographic findings in early and late onset benign childhood epilepsy with occipital paroxysms


      Twenty-six patients were studied who had the clinical and electroencephalographic features of benign childhood epilepsy with occipital paroxysms (BCEOP) as defined by the Commission of the International League Against Epilepsy (ILAE). Twelve patients were characterized as having early-onset benign childhood occipital seizures (EBOS) susceptible syndrome, as described by Panayiotopoulos, and 14 patients had late onset childhood idiopathic occipital seizures (LOS). Patients with symptomatic epilepsy and whose EEGs exhibited occipital spikes were excluded. The age of onset of the EBOS group ranged from 2.6 to 9.4 years (mean: 4.9±1.7 years), which was significantly younger than the LOS group (range: 4-12 years, mean:8.4±2.5 years). Both sexes were equally affected. The patients in the EBOS group had less frequent and longer seizures, ictal vomiting, more frequent deviation of the eyes, adversive seizures and more frequent nocturnal and secondary generalized seizures (P<0.05). By comparison, patients in the LOS group had a higher incidence of seizures, shorter duration of seizures and more frequent diurnal onset (P<0.01); also, although not statistically significant, the LOS group had more frequent visual hallucinations and headaches. The EEG topography in both groups showed at either side of occipital area typical paroxysms that were unilateral or bilaterally synchronous. Neither group had dipoles according to scalp voltage mapping. The clinical prognoses were favorable for both groups. To distinguish EBOS from LOS, detailed description of the age of onset, motor symptoms, visual symptoms, presence of eye deviation and diurnal or nocturnal occurrence are essential.


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        • Commission in Classification and Terminology of the International League Against Epilepsy
        Proposal for classification of epilepsies and epileptic syndromes.
        Epilepsia. 1985; 26: 268-278
        • Gastaut H
        A new type of epilepsy: benign partial epilepsy of childhood with occipital spike-waves.
        Clin Electroencephalogr. 1982; 12: 13-22
        • Panayiotopoulos C.P
        Benign nocturnal childhood occipital epilepsy: a new syndrome with nocturnal seizures, tonic deviation of the eyes and vomiting.
        J Child Neurol. 1989; 4: 43-48
        • Panayiotopoulos C.P
        Benign childhood epilepsy with occipital paroxysms: a 15-year prospective study.
        Ann Neurol. 1989; 26: 51-56
        • Panayiotopoulos C.P
        Early onset benign childhood occipital seizure susceptibility syndrome: a syndrome to recognize.
        Epilepsia. 1999; 40: 621-630
        • Yalcin A.D
        • Kaymaz A
        • Forta H
        Childhood occipital epilepsy: seizure manifestation and electroencephalographic features.
        Brain Dev. 1997; 19: 408-413
        • Caraballo R
        • Cerosimo R
        • Medina C
        • Fejerman N
        Panayiotopoulos-type benign childhood occipital epilepsy: a prospective study.
        Neurology. 2000; 55: 1096-1100
        • Kivity S
        • Ephraim T
        • Weitz R
        • Tamir A
        Childhood epilepsy with occipital paroxysms: clinical variants in 134 patients.
        Epilepsia. 2000; 41: 1522-1533
        • Kinast M
        • Luders H
        • Rothner D
        • Erenberg G
        Benign focal epilepstiform discharges in childhood migraine.
        Neurology. 1982; 32: 1309-1311
        • Gastaut H
        • Zifkin B.G
        Benign epilepsy of childhood with occipital spikes and wave complexes.
        in: Andermann F Lugaresi E Migraine and epilepsies. Butterworth, London1987: 47-81
        • Lerman P
        • Kivity S
        The benign partial nonrolandic epilepsies.
        J Clin Neurophysiol. 1991; 8: 277-283
        • Panayiotopoulos C.P
        Inhibitory effect of central vision on occipital lobe seizures.
        Neurology. 1981; 31: 1330-1333
        • Newton R
        • Aicardi J
        Clinical findings in children with occipital spike-wave complexes suppressed by eye-opening.
        Neurology. 1983; 33: 1526-1529
        • Van der Meij W
        • Van der Dussen D
        • Van Huffelen A.C
        • Wieneke G.H
        • Van Nieuwenhuizen O
        Dipole source analysis may differentiate benign focal epilepsy of childhood with occipital paroxysms from symptomatic occipital lobe epilepsy.
        Brain Topogr. 1997; 10: 115-120
        • Gregory D.L
        • Wong P.K
        Topographic analysis of the centrotemporal discharges in benign rolandic epilepsy of childhood.
        Epilepsia. 1984; 25: 705-711
        • Tsai M.L
        • Hung K.L
        Topograhic mapping and clinical analysis of benign childhood epilepsy with centrotemporal spikes.
        Brain Dev. 1998; 20: 27-32
        • Gastaut H
        Benign epilepsy of childhood with occipital paroxysms.
        in: Roger J Dravet C Bureau M Dreifuss F.E Wolf P Epileptic syndromes in infancy, childhood and adolescence. John Libbery Eurotext, London1985: 19-70
        • Beaumanoir A
        Infantile epilepsy with occipital focus and good prognosis.
        Eur Neurol. 1983; 22: 43-52