The Turkish Journal of Pediatrics 2015 , Vol 57 , Num 5
Childhood Epilepsy with Occipital Paroxysm: Classification, Atypical Evolution and Long-Term Prognosis in 35 Patients
Division of Pediatric Neurology, 1Department of Pediatrics, Hacettepe University Faculty of Medicine, and 2Dr. Sami Ulus Children’s Hospital, Department of Pediatric Neurology2, Ankara-Turkey. E-mail: Received: 14 July 2015, Revised: 16 September 2015, Accepted: 14 October 2015 Ayşe Aksoy, Göknur Haliloğlu, Dilek Yalnızoğlu, Güzide Turanlı. Childhood epilepsy with occipital paroxysm: classification, atypical evolution and long-term prognosis in 35 patients. Turk J Pediatr 2015; 57: 439-452.

We studied childhood epilepsy with occipital paroxysms (CEOP) with regard to typical and/or atypical ictal symptoms, EEG findings, as well as atypical evolution and outcome. This report focuses on the main clinical and EEG features of CEOP underlying its atypical symptoms and its management. Thirty-five patients with CEOP were subdivided into Panayiotopoulos syndrome (n=15), Gastaut syndrome (n=11), and mixed type (n=9). Nine patients (25%) with CEOP (mixed type) had shown atypical ictal manifestations and presented combinations of vomiting (100%) along with visual symptoms (66%), and/or eye deviation (66%), and headaches (44%). Five patients with CEOP had atypical evolution. However, the dictate for strict delineation into either the early-onset or late-onset forms of CEOP should be discarded because many children will present mixed clinical findings at varying ages. We think a detailed evaluation should be carried out as to why certain patients who apply have atypical findings, and whether each patient has age related evolution or not. Keywords : occipital lobe epilepsy, atypical evolution, outcome.

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