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BENIGN OCCIPITAL EPILEPSY OF CHILDHOOD: FACTORS AFFECTING THE PARTICULARS OF TREATMENT

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Abstract

Two forms of occipital epilepsy of childhood are distinguished which are known as Panayiotopoulos syndrome (PS) and Gastaut syndrome (GS). This article reviews modern literature data on epidemiology, diagnosis, electro-clinical characteristics, differential diagnosis and treatment principles of both syndromes. Also, the results of observation of 17 children with PS aged from 4 to 13 years, for a period from 9 months to 8 years, are given. In the course of assessment of clinical encephalographic particular features of PS, the number of seizures recorded during the observation period was taken as a criterion of “severity” of disease course, namely: group A – less than 5 seizures, (5 children), and group B – over 5 seizures (12 children). Also, 30 children with established GS diagnosis aged from 3 to 14 years, and remained under observation for 1-8 years, were examined. Patients were divided in three groups based on the number of simple, complex partial seizures and secondary generalized tonic-clonic seizures before the beginning of anticonvulsant therapy. In the course of study the factors have been revealed that affect the frequency and severity of seizures, which defined the duration and intensity of treatment, as well as the prognosis of disease.

About the Authors

I. O. Shederkina
MGMSU
Russian Federation
Children’s consulting neurologic outpatient clinic at Morozov children’s city clinical hospital


V. A. Karlov
MGMSU
Russian Federation
Children’s consulting neurologic outpatient clinic at Morozov children’s city clinical hospital


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For citation:


Shederkina I.O., Karlov V.A. BENIGN OCCIPITAL EPILEPSY OF CHILDHOOD: FACTORS AFFECTING THE PARTICULARS OF TREATMENT. Epilepsy and paroxysmal conditions. 2010;2(1):37-46. (In Russ.)

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ISSN 2077-8333 (Print)
ISSN 2311-4088 (Online)