Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Gastaut type idiopathic occipital epilepsy

https://doi.org/10.14412/2074-2711-2015-1S-19-21

Full Text:

Abstract

Idiopathic occipital epilepsy is a rare epileptic syndrome. Its incidence in a Novosibirsk cohort of patients with idiopathic focal epilepsy is 0.9%.
Objective: to present a clinical description of new cases of Gastaut syndrome, the types of its course, and treatment options in these patients.
Patients and methods. The study covers 17 cases of Gastaut type idiopathic occipital epilepsy in 13 women and 4 men aged 11–53 years.
Results. Among 17 cases we present 4 family cases with the disease. Three generations in 2 families were observed to have epilepsy, including Gastaut syndrome concurrent with childhood absence epilepsy. The adolescent onset of the disease was seen in most cases. Its main symptoms were focal visual seizures (100%), focal sensory seizures (58.9%), cephalalgia (47.1%), speech disorders (41.2%), and secondarily generalized convulsive seizures (35.3%). According to the frequency of seizures, the investigators identified 5 types of the course: single focal seizures, rare focal seizures with or without convulsions, frequent focal seizures with or without convulsions. The identity of the course of epilepsy was found in familial cases. 76.5% of the patients had a good quality of life: 41.2% of them were untreated while 35.3% were treated; no seizures were noted. 

About the Authors

I. V. Volkov
Novosibirsk City Neurology Center «Sibneiromed», Novosibirsk, Russia; 37, Michurin St., Novosibirsk 630091;
Russian Federation


O. K. Volkova
Novosibirsk City Neurology Center «Sibneiromed», Novosibirsk, Russia; 37, Michurin St., Novosibirsk 630091; Children's Clinical Hospital Three, Novosibirsk, Russia; 81, Okhotskaya St., Novosibirsk 630040
Russian Federation


References

1. Engel J Jr. Classification of epileptic disorders. Epilepsia. 2001 Mar; 2001;42(3):316.

2. Никанорова МЮ. Доброкачественная эпилепсия детского возраста с затылочными пароксизмами. В кн.: Эпилепсии и судорожные синдромы у детей. Под редакцией П.А. Темина, М.Ю. Никаноровой. Москва: Медицина; 1999. С. 212–6. [Nikanorova MU. Benign epilepsy of children's age with occipital paroxysms. In: Epilepsii i sudorozhnye sindromy u detey [Epilepsies and convulsive syndromes at children]. Temin PA, Nikanorova MY, editors. Moscow: Medicine; 1999. Р. 212–6].

3. Gastaut H, Zifkin BG. Benign epilepsy of childhood with occipital spike and wave complexes. In: Andermann F, Lugaresi E, editors. Migraine and epilepsy. Boston: Butterworths; 1987. Р. 47–81.

4. Gastaut H, Roger J, Bureau M. Benign epilepsy of childhood with occipital paroxysms. Up-date. In: Roger J, Bureau M, Dravet C et al., editors. Epileptic syndromes in infancy, childhood and adolescence. London: John Libbey & Company Ltd.; 1992. Р. 201–17.

5. Caraballo RH, Sologuestua A, Granana N, et al. Idiopathic occipital and absence epilepsies appearing in the same children. Pediatr Neurol. 2004 Jan;30(1):24–8.

6. Caraballo RH, Cersosimo RO, Fejerman N. Late onset, «Gastaut type», childood occipital epilepsy: an unusual evolution. Epileptic Disord. 2005 Dec;7(4):341–6.

7. Verrotti A, Coppola G, D'Egidio C, et al. Gastaut type-idiopathic childhood occipital epilepsy and childhood absence epilepsy: A clinically significant association? Seizure. 2010 Jul;19(6):368–72. DOI: 10.1016/j.seizure. 2010.04.010. Epub 2010 May 14.

8. Wakamoto H, Nagao H, Fukuda M, et al. Idiopathic childhood occipital epilepsy of Gastaut: report of 12 patients. Pediatr Neurol. 2011 Mar;44(3):183–6 DOI: 10.1016/j.pediatrneurol.2010.10.005.

9. Kuzniecky R, Rosenblatt B. Benign occipital epilepsy: a family study. Epilepsia. 1987 Jul–Aug;28(4):346–50.

10. Белоусова ЕД. Генетика эпилепсии: зачем и как обследовать детей с эпилепсией. Неврология, нейропсихиатрия, психосоматика. 2014;(спецвыпуск 1):4–8. [Belousova ED. Genetics of epilepsy: what for and how to examine children with epilepsy? Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2014;(s1):4–8. (In Russ.)]. DOI: http://dx.doi. org/10.14412/2074-2711-2014-1S

11. Ferrie CD, Beaumanoir A, Guerrini R, et al. Early-onset benign occipital seizure susceptibility syndrome. Epilepsia. 1997 Mar; 38: 285–93.

12. Caraballo RH, Cersosimo RO, Fejerman N. Childhood occipital epilepsy of Gastaut: A study of 33 patients. Epilepsia. 2008 Feb;49(2):288–97. Epub 2007 Sep 19.

13. Panayiotopoulos CP. Idiopathic childhood occipital epilepsies. In: Roger J, Bureau M, Dravet C, et al., editors. Epileptic syndromes in infancy, childhood and adolescence. London: John Libbey & Company Ltd.; 2002. Р. 203–24.


For citation:


Volkov I.V., Volkova O.K. Gastaut type idiopathic occipital epilepsy. Neurology, Neuropsychiatry, Psychosomatics. 2015;7(1S):19-21. (In Russ.) https://doi.org/10.14412/2074-2711-2015-1S-19-21

Views: 964


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)