We present the case of a 3 and 1/2 year old child. After a single febrile convulsion occurred at the age of 18 months, the child started to have seizures when he was 2 years old with an average interval of approximately 6 months. Daytime seizures were characterized only by visual manifestations. Parents also reported nocturnal 'generalized' seizures. Postictal phase was once characterized by confusion and migraine. EEG during wakefulness showed independent interictal foci over both occipital regions (right focus more active). Eye-opening blocked interictal discharges. Similar findings were observed during sleep recording. VEPs, skull X ray, MRI turned out to be normal. Psychological longitudinal observation showed a persistent hyperexcitability syndrome and a hypercinetic state. Psychomotor development appeared otherwise to be normal. Clinical and laboratory findings suggest the diagnosis of Partial Benign Epilepsy with Occipital Spike-and-Waves. MRI confirms the absence of morphological abnormalities previously demonstrated by CT studies. Differently from other reports we did not demonstrate VEP alterations.
|Translated title of the contribution||Benign epilepsy of childhood with occipital spike-and-waves: A case report|
|Number of pages||2|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - 1990|
ASJC Scopus subject areas
- Clinical Neurology