Abstract:
:Occipital lobe epilepsy in children can present as an idiopathic form (i.e., childhood epilepsy with occipital paroxysms) or as a symptomatic form. Forty-three children (18 boys, 25 girls) were divided into the idiopathic group or symptomatic group, according to the classification for epileptic seizures of the International League Against Epilepsy. Patients in the idiopathic group were further subdivided into the Panayiotopoulos or Gastaut type, according to clinical presentation. The idiopathic group consisted of 15 children (5 boys, 10 girls), of whom 11 were of the Panayiotopoulos type and 4 of the Gastaut type. The symptomatic group consisted of 28 children (13 boys, 15 girls). The average age of seizure onset in the idiopathic group was younger than in the symptomatic group (6.5 +/- 2.4 vs 8.5 +/- 3.0 years). Ictal vomiting was more common in the idiopathic group, and positive visual symptoms were more common in the symptomatic group. Mean epilepsy duration in the idiopathic group was shorter (5.7 +/- 5.3 vs 20.1 +/- 16.0 months), and the response to treatment was better. The average age of seizure onset was much younger in the Panayiotopoulos than in the Gastaut type (5.4 +/- 1.5 vs 9.5 +/- 1.5 years), and mean epilepsy duration was also shorter (3.9 +/- 4.2 vs 10.5 +/- 4.9 months). Seizure semiology can distinguish between idiopathic occipital lobe epilepsy and the symptomatic form with ictal vomiting and positive visual symptoms. In idiopathic occipital lobe epilepsy, the Panayiotopoulos type has better prognosis than the Gastaut type.
journal_name
Pediatr Neuroljournal_title
Pediatric neurologyauthors
Du JC,Chien YH,Weng WC,Shen YZ,Lee WTdoi
10.1016/j.pediatrneurol.2007.02.004subject
Has Abstractpub_date
2007-06-01 00:00:00pages
387-92issue
6eissn
0887-8994issn
1873-5150pii
S0887-8994(07)00088-4journal_volume
36pub_type
杂志文章abstract::A 4-year-old male developed encephalitis 2 weeks after the onset of varicella. During his evaluation neuroradiologic procedures documented cerebellar edema and demyelination. Cerebrospinal fluid titers confirmed varicella encephalitis. To our knowledge, this patient is the first reported with focal cerebellar edema, a...
journal_title:Pediatric neurology
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doi:10.1016/0887-8994(88)90054-9
更新日期:1988-03-01 00:00:00
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journal_title:Pediatric neurology
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doi:10.1016/0887-8994(94)90064-7
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journal_title:Pediatric neurology
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更新日期:1993-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.pediatrneurol.2018.12.010
更新日期:2019-05-01 00:00:00
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journal_title:Pediatric neurology
pub_type: 杂志文章
doi:10.1016/s0887-8994(98)00036-8
更新日期:1998-08-01 00:00:00
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更新日期:1996-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Pediatric neurology
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更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:1997-07-01 00:00:00
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更新日期:2017-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.pediatrneurol.2014.08.001
更新日期:2014-08-07 00:00:00
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doi:10.1016/s0887-8994(97)00172-0
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
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更新日期:2003-03-01 00:00:00
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journal_title:Pediatric neurology
pub_type: 杂志文章
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更新日期:2009-05-01 00:00:00
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journal_title:Pediatric neurology
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pub_type: 杂志文章
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更新日期:2014-09-01 00:00:00
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journal_title:Pediatric neurology
pub_type: 杂志文章
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更新日期:2005-04-01 00:00:00
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journal_title:Pediatric neurology
pub_type: 杂志文章
doi:10.1016/s0887-8994(99)00042-9
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journal_title:Pediatric neurology
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