We report an unusual association between idiopathic occipital epilepsy and childhood absence epilepsy in 2 pediatric patients. At first clinical and electroencephalographic evaluation, the patients presented the peculiar signs of idiopathic occipital epilepsy Gastaut type: focal sensory visual seizures, migraine-like symptoms (only in one patient) and unilateral spike-wave discharges over occipital regions. Both children were treated with valproic acid and their seizures were rapidly controlled. After a seizure-free period, the patients presented typical absence with ictal electroencephalographies showing 3 cycles/s generalized and symmetrical spike-wave complexes. We discuss the possible association between these two epileptic syndromes and its common pathophysiological mechanisms. (C) 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Gastaut type-idiopathic childhood occipital epilepsy and childhood absence epilepsy: a clinically significant association? / Alberto, Verrotti; Giangennaro, Coppola; Claudia, D'Egidio; Parisi, Pasquale; Francesco, Chiarelli. - In: SEIZURE. - ISSN 1059-1311. - STAMPA. - 19:6(2010), pp. 368-372. [10.1016/j.seizure.2010.04.010]
Gastaut type-idiopathic childhood occipital epilepsy and childhood absence epilepsy: a clinically significant association?
PARISI, PasqualeWriting – Original Draft Preparation
;
2010
Abstract
We report an unusual association between idiopathic occipital epilepsy and childhood absence epilepsy in 2 pediatric patients. At first clinical and electroencephalographic evaluation, the patients presented the peculiar signs of idiopathic occipital epilepsy Gastaut type: focal sensory visual seizures, migraine-like symptoms (only in one patient) and unilateral spike-wave discharges over occipital regions. Both children were treated with valproic acid and their seizures were rapidly controlled. After a seizure-free period, the patients presented typical absence with ictal electroencephalographies showing 3 cycles/s generalized and symmetrical spike-wave complexes. We discuss the possible association between these two epileptic syndromes and its common pathophysiological mechanisms. (C) 2010 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.File | Dimensione | Formato | |
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