Difference between revisions of "Panayiotopoulos Syndrome"

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(Created page with "'''Background''' * Also known as early onset occipital epilepsy * Common childhood epilepsy syndrome with partial seizures (1 in 8000 children) * Most common in 2-10 years old...")
 
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'''Background'''
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==Background==
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* Also known as early onset occipital epilepsy
 
* Also known as early onset occipital epilepsy
 
* Common childhood epilepsy syndrome with partial seizures (1 in 8000 children)
 
* Common childhood epilepsy syndrome with partial seizures (1 in 8000 children)
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'''Clinic'''
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==Clinic==
 
* Autonomic dysfunction  
 
* Autonomic dysfunction  
 
** Pale  
 
** Pale  
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'''EEG'''
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==EEG==
 
* Spikes in one or both '''occipital lobes'''.
 
* Spikes in one or both '''occipital lobes'''.
 
* Sometimes centro-temporal spikes.  
 
* Sometimes centro-temporal spikes.  

Revision as of 15:33, 5 July 2017

Background

  • Also known as early onset occipital epilepsy
  • Common childhood epilepsy syndrome with partial seizures (1 in 8000 children)
  • Most common in 2-10 years old, with a maximum around 5 years old


Clinic

  • Autonomic dysfunction
    • Pale
    • Complain of feeling sick and may vomit
    • Sweating
    • Drooling
    • Pupil dilatation or miosis
    • Tachy- or bradycardia
  • Eye deviation
  • Sometimes tonic-clonic movements
  • Headache after the seizure
  • More than half of the seizures will occur in sleep, particularly in the first hour after falling asleep.


EEG

  • Spikes in one or both occipital lobes.
  • Sometimes centro-temporal spikes.
  • Fixation off sensitivity may be seen: The Spikes are seen when the child’s eyes are closed or if they are not fixating on an object. With eyes opened or fixated, the spikes disappear
  • If the EEG done during awake is normal, an EEG during sleep is recommended



Panayiotopoulos Syndrome in a 5 year old girl (source)

Panayiotopoulos Syndrome in a 5 year old girl (source) EEGpedia.png