Çukurova Üniversitesi Tıp Fakültesi Dergisi (Sep 2015)
Idiopathic Childhood Occipital Lobe Epilepsies in Turkish Children
Abstract
Purpose: Two forms of idiopathic occipital lobe epilepsy can be distinguished: an early onset or Panayiotopoulos type (PS), and a late onset or Gastaut type (GS). The aim of this study was to identify clinical manifestations and outcome in Turkish children with idiopathic occipital lobe epilepsy. Materials and Methods: Thirty nine children (27 boys, 12 girls) were divided into the PS and GS type, according to the classification for epileptic seizures of the International League Against Epilepsy. Results: Among the 39 patients, 27 (69.3%) were boys and 12 (30.7%) were girls and the mean age at the seizure onset was 77.38 +/- 27.33 months (36-145 months). The PS type patients consisted of 27 children (19 boys, 8 girls). The average age of seizure onset in PS type patients was 60.76 +/- 14.21 months (range, 36-94 months). The GS type patients consisted of 12 children (8 boys, 4 girls), and seizure onset was 107.7 +/- 18.8 months (range, 72-145 months). Ictal vomiting was more common in the PS type patients, and visual symptoms were more common in the GS type patients. We detected that after treatment, 27 patients (100%) in PS type and 10 patients (83.3%) in GS type became seizures-free. Two patients continued having seizures in GS type. Conclusions: The average age of seizure onset was much younger in the PS than in the GS. Also, in idiopathic occipital lobe epilepsy, the PS type has better seizure-free and prognosis than the GS. [Cukurova Med J 2015; 40(3.000): 504-509]
