title: Delayed appearance of interictal EEG abnormalities in early onset childhood epilepsy with occipital paroxysms.
abstract: Childhood epilepsy with occipital paroxysms is an age-related idiopathic focal epilepsy. Occipital EEG paroxysms are considered necessary for diagnosis. We carried out a close clinical and EEG follow-up (range, 2-12 years; mean, 6 years 7 months; median, 7 years) in 24 patients (age range, 4-19 years; mean, 11 years 8 months; median, 11 years). In five children with early seizure onset and particularly benign prognosis without any treatment, EEG abnormalities appeared 3-10 months after the first seizure. Four of them exhibited the ictal pattern of versive seizures with vomiting. Our findings confirm that in the early idiopathic focal seizure disorders, interictal EEG abnormalities may be lacking at the beginning of the disorder.
authors.affiliation: Institute of Child Neurology and Psychiatry, University of Pisa, IRCCS Stella Maris Foundation, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Guerrini
authors.forename: A
authors.initials: A
authors.lastname: Belmonte
authors.forename: P
authors.initials: P
authors.lastname: Veggiotti
authors.forename: D
authors.initials: D
authors.lastname: Mattia
authors.forename: P
authors.initials: P
authors.lastname: Bonanni
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000175:diagnosis* / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009778:Occipital Lobe / Q000503:physiopathology*; D011379:Prognosis