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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2016, Number 2

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An Med Asoc Med Hosp ABC 2016; 61 (2)

Focal occipital spikes epilepsy or Gastaut occipital epilepsy

Miranda NG, Shkurovich BP
Full text How to cite this article

Language: Spanish
References: 5
Page: 147-149
PDF size: 315.58 Kb.


Key words:

Occipital epilepsy, visual aura, gaze deviation.

ABSTRACT

The occipital epilepsy of Gastaut can be difficult to distinguish from migraine with visual aura. His long-term prognosis is uncertain, partly due to the overlap with other entities. The persistence of crises beyond adolescence and the development of learning disabilities and other cognitive disorders have raised doubts about its proclaimed benignity. Male patient 13-year-old began his clinical picture 5 years ago with intense, diffuse headache of vascular characteristics difficult to control, the starting year of the clinical picture begins in every crisis with gaze deviation on the right. Imaging reveals no abnormal data in both axial tomography skull and magnetic resonance. The electroencephalogram shows the presence of occipital spikes, corroborating a focused epilepsy occipital region. For the clinical and electroencephalogram findings focused Epilepsy with occipital spikes Gastaut variant is diagnosed. Treatment was initiated with valproate improving their clinical picture.


REFERENCES

  1. Gastaud H. Bening epilepsy of childhood with occipital paroxysms. In: Roger J, Bureau M, Dravet Ch, Dreifuss FE, Perret A, Wolf P, editors. Les syndromes épileptiques de l’enfant et de l’adolescent. 2nd ed. London: John Libbey; 1992: 201-217.

  2. Cavazzuti GB, Cappella L, Nalin A. Longitudinal study of epileptiform EEG patterns in normal children. Epilepsia. 1980; 21 (1): 43-55.

  3. Kellaway P. The incidence, significance, and natural history of spike foci in children. In: Henry CE, ed. Current Clinical Neurophysiology. Update on EEG and evoked potentials. New York: Elsevier/North Holland; 1980: 151-175.

  4. Alvarez N, Lombroso CT, Medina C, Cantlon B. Paroxysmal spike and wave activity in drowsiness in young children: its relationship to febrile convulsions. Electroencephalogr Clin Neurophysiol. 1983; 56 (5): 406-4013.

  5. Gaona V. Epilepsia idiopática occipital de la niñez tipo Gastaut. Rev Neurol. 2001; 34 (1): 7-18.




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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2016;61