| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Branch of Electroencephalography and Clinical Neurophysiology, National Institute of Neurological Diseases and Stroke, Bethesda, Maryland.
Seizure patterns and other clinical features were analyzed in 55 epileptic patients with electrographic evidence of exclusive or predominant occipital involvement. Few statistically significant differences in clinical or ictal patterns were found between subjects with purely focal occipital involvement and those with temporal and temporoparietal spread or minor additional independent foci. On the other hand, cases with bilateral synchronous occipital spike activity appeared to reflect a different type of epileptic disorder. Clinical pleomorphism was more apparent than is commonly conceived; thus, although the incidence of visual auras was relatively high (47 percent), epigastric, psychic, somatic, and other sensory phenomena were not infrequently encountered. Ictal motor patterns were most commonly (53 percent) nonfocal or absent, but partial or focal motor attacks and psychomotor seizures were amply represented. Ictal features with their localizing and lateralizing reliability were also analyzed and discussed in relation to those found in a companion study of seizures of fronto-centro-parietal origin.
Received for publication November 4, 1974.
Dr. Ajmone Marsan's address is Building 10, Room 4N262, National Institutes of Health, Bethesda, MD 20014.
This article has been cited by other articles:
|
|
 |
|
  I. Taylor, S. F. Berkovic, S. Kivity, and I. E. Scheffer Benign occipital epilepsies of childhood: clinical features and genetics Brain, September 1, 2008; 131(9): 2287 - 2294. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. A. Engelsen, C. Tzoulis, B. Karlsen, A. Lillebo, L. M. Laegreid, J. Aasly, M. Zeviani, and L. A. Bindoff POLG1 mutations cause a syndromic epilepsy with occipital lobe predilection Brain, March 1, 2008; 131(3): 818 - 828. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. T. Blume, S. Wiebe, and L. M. Tapsell Occipital epilepsy: lateral versus mesial Brain, May 1, 2005; 128(5): 1209 - 1225. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. D. Pandian, G. D. Cascino, E. L. So, E. Manno, and J. R. Fulgham Digital Video-Electroencephalographic Monitoring in the Neurological-Neurosurgical Intensive Care Unit: Clinical Features and Outcome Arch Neurol, July 1, 2004; 61(7): 1090 - 1094. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Taylor, I. E. Scheffer, and S. F. Berkovic Occipital epilepsies: identification of specific and newly recognized syndromes Brain, April 1, 2003; 126(4): 753 - 769. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S L Hosking, E J Roff Hilton, S J Embleton, and A K Gupta Epilepsy patients treated with vigabatrin exhibit reduced ocular blood flow Br J Ophthalmol, January 1, 2003; 87(1): 96 - 100. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Boesebeck, R. Schulz, T. May, and A. Ebner Lateralizing semiology predicts the seizure outcome after epilepsy surgery in the posterior cortex Brain, October 1, 2002; 125(10): 2320 - 2331. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Hennessy, R. D. C. Elwes, C. D. Binnie, and C. E. Polkey Failed surgery for epilepsy: A study of persistence and recurrence of seizures following temporal resection Brain, December 1, 2000; 123(12): 2445 - 2466. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. G. Bien, F. O. Benninger, H. Urbach, J. Schramm, M. Kurthen, and C. E. Elger Localizing value of epileptic visual auras Brain, February 1, 2000; 123(2): 244 - 253. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M C Lawden, T Eke, C Degg, G F A Harding, and J M Wild Visual field defects associated with vigabatrin therapy J. Neurol. Neurosurg. Psychiatry, December 1, 1999; 67(6): 716 - 722. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C P Panayiotopoulos Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine J. Neurol. Neurosurg. Psychiatry, April 1, 1999; 66(4): 536 - 540. [Abstract] [Full Text]
|
|
|
|
 |
|
 E. A Wilson, M. J Brodie, I C K Wong, G E Mawer, J W A S Sander, N. Blackwell, J. Hayllar, G. Kelly, G F A Harding, J. T Backstrom, et al. Severe persistent visual field constriction associated with vigabatrin BMJ, June 7, 1997; 314(7095): 1693 - 1693. [Full Text]
|
|
|
|
|
|
W. B. Young, D. O. Heros, B. L. Ehrenberg, and T. R. Hedges III Metamorphopsia and Palinopsia: Association With Periodic Lateralized Epileptiform Discharges in a Patient With Malignant Astrocytoma Arch Neurol, July 1, 1989; 46(7): 820 - 822. [Abstract] [PDF]
|
|
|
|
 |
|
 R. A. Fischer and R. R. Clancy Midline Foci of Epileptiform Activity in Children and Neonates J Child Neurol, July 1, 1987; 2(3): 224 - 228. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
