Seizures and epilepsy in Sotos syndrome: Analysis of 19 Caucasian patients with long-term follow-up

Francesco Nicita, Martino Ruggieri, Agata Polizzi, Laura Mauceri, Vincenzo Salpietro, Silvana Briuglia, Laura Papetti, Fabiana Ursitti, Salvatore Grosso, Luigi Tarani, Maria Segni, Salvatore Savasta, Pasquale Parisi, Alberto Verrotti, Alberto Spalice

Research output: Contribution to journalArticlepeer-review

Abstract

Sotos syndrome (SS) is an overgrowth syndrome characterized by typical facial appearance, learning disability, and macrocephaly as cardinal diagnostic features. Febrile (FS) and afebrile seizures are reported in 9-50% of cases. There is no evidence that patients with SS and FS later develop epilepsy, and no studies have investigated the electroclinical features and the long-term outcome in epileptic SS patients. The authors report a series of 19 SS patients with FS and/or epilepsy during childhood and a long-term follow-up. More than half of FS evolved to epilepsy. Temporal lobe seizures were recorded in 40% of patients with SS. Seizures were easy to control with common antiepileptic drugs in almost all patients. A careful neurologic evaluation is useful for SS patients, since seizures are an important finding among people with this overgrowth syndrome.

Original languageEnglish
JournalEpilepsia
Volume53
Issue number6
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Cerebral gigantism
  • Epilepsy
  • Overgrowth syndrome
  • Seizures
  • Sotos syndrome

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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