Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2004     Volumen 29     Number 4
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UDK: 616.853-053.2 ISSN 0350-2899, 29(2004) 4 p.256-260
Case report

The Early Onset Benign Childhood Occipital Epilepsy
(Panayiotopoulos Syndrome) - Case Report

Emil Vlajić
Medical Centre Zaječar, Zaječar

The early onset benign childhood seizures with occipital spikes or Panayiotopoulos syndrome is the second most frequent benign syndrome of childhood. The condition belongs to idiopathic epilepsies of childhood age with infrequent seizures, excellent prognosis and specific constellation of ictal features. M.M., a boy, was born in 1991 as the product of normal delivery and underwent normal development. There were neither febrile convulsions nor family history of epilepsy. His first and only seizure occurred at age 7 years. He woke in the morning, slightly earlier then usually, feels unwell, complaining on nausea. He walked to the bathroom, tried to vomit a couple of times, strained, but there was nothing to vomit. He was unstable during his marching back to the room few minutes later, then complained of losing ability to see, then to see double. He appeared completely lost, and within minutes his eyes turned to one side, and he become unresponsive. He did not fall nor convulsed. He abruptly became responsive, and appeared completely well in the hospital, one our later. His first EEG the next day had normal background with a frequent high amplitude spike-slow wave around left occipital electrode. The next EEG, one month later showed identical features (normal background activity with left occipital spikes). The next EEG 6 months later was normal, and EEG follow up for 5 years were also normal. Panayiotopoulos syndrome has a benign course, can be misdiagnosed as serious cerebral disease and needs recognition in early stage in purpose of organizing appropriate diagnostic and therapeutic approach.

Key words: Panayiotopoulos syndrome, occipital epilepsy, benign epilepsy, childhood epilepsy.

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

  Corresponding Address:
Emil Vlajić
S. Markovića 36/25, 19000 Zaječar
E-mail: vemil@ptt.yu

Paper received: 10.06.2004
Paper accepted: 23.07.2004
Published online: 20.01.2005
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