epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLCepilepsia-27Research ArticleORIGINAL ARTICLESОРИГИНАЛЬНЫЕ СТАТЬИOCCIPITAL EPILEPSY IN CHILDREN: DIAGNOSTIC FEATURES AND TACTICSЗАТЫЛОЧНЫЕ ЭПИЛЕПСИИ У ДЕТЕЙ: ОСОБЕННОСТИ ДИАГНОСТИКИ И ТАКТИКИ ВЕДЕНИЯЩедеркинаИ. О.ShchederkinaI. O.Морозовская детская городская клиническая больница Департамента здравоохранения города МосквыРоссияMorozov Children s Clinical Hospital, MoscowRussian Federation201401062016614448Copyright © Shchederkina I.O., 20162016Щедеркина И.О.Shchederkina I.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/27

Abstract: idiopathic occipital epilepsy , not uncommon in practice, pediatric neurologist . According to Panayiotopoulos , they are found in 30% of cases of idiopathic epilepsy (25 % – Panayiotopoulosao syndrome, 4% – Gastaut type ). Particular difficulty is the abundance of autonomous symptoms, the presence of transitional forms of epilepsy, the combination of migraine , which has age-appropriate. In addition, the child s brain is different excitability and registration abnormalities in the EEG is not casuistry . We have provided supervision for children with occipital epilepsy and EEG changes in the occipital region, clinical and medical history characteristics of this group and outcome monitoring for 5-7 years.

Идиопатические затылочные эпилепсии – не редкость в практике детского невролога. По данным Панайотопулоса, они встречаются в 30% случаев всех идиопатических форм эпилепсии (25% – синдром Панайотопулоса, 4% – тип Гасто). Особые трудности в диагностике возникают из¬за обилия автономной симп-томатики, наличия переходных форм эпилепсии, сочетания с мигренью, имеющей возрастные особенности. Кроме того, детский мозг отличается повышенной возбудимостью и регистрация отклонений на ЭЭГ не является казуистикой. Нами представлено наблюдение за детьми с затылочной эпилепсией и с ЭЭГ-изменениями в затылочном регионе без эпилептических приступов в анамнезе, клинико­анамнестические особенности данной группы и исходы наблюдения в течение 5-7 лет.

затылочная эпилепсиясиндром Панайотопулосатип Гастоэлектроэнцефалографиядетские особенностиoccipital epilepsysyndrome Panayiotopoulostype Gastautelectroencephalographyespecially for childrenReferencesКарлов В.А. Эпилепсия у детей и взрослых, женщин и мужчин. М. 2010; 720 с.Karlov V.A. Jepilepsija u detej i vzroslyh, zhenshhin i muzhchin. M. 2010; 720 s.Мухин К.Ю., Петрухин А.С. Идиопатические формы эпилепсии: систематика, диагностика, терапия. М. 2000.Muhin K.Ju., Petruhin A.S. Idiopaticheskie formy jepilepsii: sistematika, diagnostika, terapija. M. 2000.Мухин К.Ю., Петрухин А.С., Глухова Л.Ю. Эпилепсия. Атлас электроэнцефалографической диагностики. М. 2004.Muhin K.Ju., Petruhin A.S., Gluhova L.Ju. Jepilepsija. Atlas jelektrojencefalograficheskoj diagnostiki. M. 2004.Мухин К.Ю., Миронов М.Б. Частота встречаемости различных форм идиопатической фокальной эпилепсии у детей. Эпилепсия и пароксизмальные состояния. 2011; 3: 33-37.Muhin K.Ju., Mironov M.B. Chastota vstrechaemosti razlichnyh form idiopaticheskoj fokal noj jepilepsii u detej. Jepilepsija i paroksizmal nye sostojanija. 2011; 3: 33-37.Andermann F., Zifkin B. The bening occipital epilepsies of childhood: an overview of the idiopatic syndromes and of the rela-tionship to migraine. Epilepsia. 1998; 39 (4):9-23.Andermann F., Zifkin B. The bening occipital epilepsies of childhood: an overview of the idiopatic syndromes and of the relationship to migraine. Epilepsia. 1998; 39 (4):9-23.Caraballo R.H., Cersosmio R., Medina C., Fejerman N. Panayiotopoulos-type bening childhood occipital epilepsy: a prospective study. Neurology. 2000; 55: 1096-1100.Caraballo R.H., Cersosmio R., Medina C., Fejerman N. Panayiotopoulos-type bening childhood occipital epilepsy: a prospective study. Neurology. 2000; 55: 1096-1100.Caraballo R.H., Cersosmio R., Fejerman N. Idiopathic partial epilepsies with Rolandic and occipital spikes appearing in the same children. J.Epilepsy.1998; 11:261-264.Caraballo R.H., Cersosmio R., Fejerman N. Idiopathic partial epilepsies with Rolandic and occipital spikes appearing in the same children. J.Epilepsy.1998; 11:261-264.Caraballo R.H., Cersosimo R., Fejerman N. Panayiotopoulos syndrome: a prospective study of 192 patients. Epilepsia. 2007; 48 (6): 1054-1961.Caraballo R.H., Cersosimo R., Fejerman N. Panayiotopoulos syndrome: a prospective study of 192 patients. Epilepsia. 2007; 48 (6): 1054-1961.Caraballo R.H., Cersosimo R., Fejerman N. Childhood occipital epilepsy of Gastaut: a study of 33 patients. Epilepsia. 2008; 49 (2): 288-297.Caraballo R.H., Cersosimo R., Fejerman N. Childhood occipital epilepsy of Gastaut: a study of 33 patients. Epilepsia. 2008; 49 (2): 288-297.Chilosi A.M., Brovedani P., Moscatelli M. et al. Neuropsychological findings in idiopathic occipital lobe epilepsies. 2006; 47 (2): 76-78.Chilosi A.M., Brovedani P., Moscatelli M. et al. Neuropsychological findings in idiopathic occipital lobe epilepsies. 2006; 47 (2): 76-78.Covanis A., Ferrie C.D., Koutroumanidis M. et al. Panayiotopoulos syndrome and Gastaut type idiopathic children occipital epilepsy. In: Roger J., Dravet C.H., Bureau M. et al. (eds). Epileptic syndromes in infancy, childhood and adolescence (4th Ed.) Montrouge. 2005; 227-253.Covanis A., Ferrie C.D., Koutroumanidis M. et al. Panayiotopoulos syndrome and Gastaut type idiopathic children occipital epilepsy. In: Roger J., Dravet C.H., Bureau M. et al. (eds). Epileptic syndromes in infancy, childhood and adolescence (4th Ed.) Montrouge. 2005; 227-253.Covanis A. Panayiotopoulos syndrome. In: Epileptology in 21 century. Moscow-Kazan. 6-10 Apr. 2009; 250-256.Covanis A. Panayiotopoulos syndrome. In: Epileptology in 21 century. Moscow-Kazan. 6-10 Apr. 2009; 250-256.De Rose P., Perrino F., Lettori D. et al. Visual and visioperceptual in children with Panayiotopoulos syndrome. Epilepsia. 2010; 51 (7): 1205-1211.De Rose P., Perrino F., Lettori D. et al. Visual and visioperceptual in children with Panayiotopoulos syndrome. Epilepsia. 2010; 51 (7): 1205-1211.Fejerman N. Bening focal epilepsies in infancy, childhood and adolescence. Rev Neurol. 2002; 34: 7-18.Fejerman N. Bening focal epilepsies in infancy, childhood and adolescence. Rev Neurol. 2002; 34: 7-18.Fejerman N., Panayiotopoulos C.P. Early-onset bening childhood occipital epilepsy (Panayiotopoulos type). In: Engel J., Pedley TA (Eds). Epilepsy: a comprehensive textbook. Philadelphia. 2007.Fejerman N., Panayiotopoulos C.P. Early-onset bening childhood occipital epilepsy (Panayiotopoulos type). In: Engel J., Pedley TA (Eds). Epilepsy: a comprehensive textbook. Philadelphia. 2007.Gastaut H. A new type of epilepsy: bening partial epilepsy of childhood with occipital spike-waves. Clin. Electroencephal. 1982; 13: 13-22.Gastaut H. A new type of epilepsy: bening partial epilepsy of childhood with occipital spike-waves. Clin. Electroencephal. 1982; 13: 13-22.Gibbs F.A., Gibbs E.L. Atlas of electroence-phalography. Cambrige. 1950; 1: 424 p.Gibbs F.A., Gibbs E.L. Atlas of electroence-phalography. Cambrige. 1950; 1: 424 p.Gulgonen S., Demirbilek V., Korkaz B. et al. Neuropsychological functions in idiopathic occipital lobe epilepsy. Epilepsia. 2000; 41 (4): 405-411.Gulgonen S., Demirbilek V., Korkaz B. et al. Neuropsychological functions in idiopathic occipital lobe epilepsy. Epilepsia. 2000; 41 (4): 405-411.Hande Sart Z., Demirbilek V., Korkmaz B. et al. The consequences of idiopathic partial epilepsies in relation to neuropsychological functioning: a closer look at the associated mathematlcal disability. Epileptic Disorders 2006; 8 (1): 24-31.Hande Sart Z., Demirbilek V., Korkmaz B. et al. The consequences of idiopathic partial epilepsies in relation to neuropsychological functioning: a closer look at the associated mathematlcal disability. Epileptic Disorders 2006; 8 (1): 24-31.Ohtsu M., Oguni H., Hayashi K. et al. EEG in children with early-onset bening occipital seizures susceptibility syndrome: Panayioto-poulos-syndrome. Epilepsia. 2002; 2.Ohtsu M., Oguni H., Hayashi K. et al. EEG in children with early-onset bening occipital seizures susceptibility syndrome: Panayioto-poulos-syndrome. Epilepsia. 2002; 2.Oguni H., Hayashi K., Imai K. et al. Study on the early-onset variant of bening childhood epilepsy with occipital paroxysms otherwise described as early-onset bening occipital seizures susceptibility syndrome. Epilepsia. 1999; 40:1020-1030.Oguni H., Hayashi K., Imai K. et al. Study on the early-onset variant of bening childhood epilepsy with occipital paroxysms otherwise described as early-onset bening occipital seizures susceptibility syndrome. Epilepsia. 1999; 40:1020-1030.Panayiotopoulos C.P. Bening childhood epilepsy with occipital paroxysms: a 15 year prospective study. Ann. Neurol. 1989; 26: 51-56.Panayiotopoulos C.P. Bening childhood epilepsy with occipital paroxysms: a 15 year prospective study. Ann. Neurol. 1989; 26: 51-56.Panayiotopoulos C.P. Extraoccipital bening childhood partial seizures with ictal vomiting and excellent prognosis. J. Neurol. Neurosurg. Psychiatry.1999; 66: 82-85.Panayiotopoulos C.P. Extraoccipital bening childhood partial seizures with ictal vomiting and excellent prognosis. J. Neurol. Neurosurg. Psychiatry.1999; 66: 82-85.Panayiotopoulos C.P. Panayiotopoulos synd-rome: a common and bening childhood epi-leptic syndrome. London: John Libbey, 2002.Panayiotopoulos C.P. Panayiotopoulos syndrome: a common and bening childhood epileptic syndrome. London: John Libbey, 2002.Panayiotopoulos C.P. Bening childhood epilepsy with occipital paroxysms: a 15 year prospective study. Ann. Neurol. 1989; 26: 51-56.Panayiotopoulos C.P. Bening childhood epilepsy with occipital paroxysms: a 15 year prospective study. Ann. Neurol. 1989; 26: 51-56.Panayiotopoulos C.P. Extraoccipital bening childhood partial seizures with ictal vomiting and excellent prognosis. J. Neurol. Neurosurg. Psychiatry.1999; 66: 82-85.Panayiotopoulos C.P. Extraoccipital bening childhood partial seizures with ictal vomiting and excellent prognosis. J. Neurol. Neurosurg. Psychiatry.1999; 66: 82-85.Panayiotopoulos C.P. Panayiotopoulos syndrome: a common and bening childhood epileptic syndrome. London. 2002.Panayiotopoulos C.P. Panayiotopoulos syndrome: a common and bening childhood epileptic syndrome. London. 2002.

The authors declare that there are no conflicts of interest present.