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Cerebral
Published in A. Sahib El-Radhi, Paediatric Symptom and Sign Sorter, 2019
Beware of several sleep-related epileptic seizures: benign partial epilepsy with centrotemporal spikes (rolanic), benign epilepsy with affective symptoms, benign occipital epilepsy and Panayiotopoulos syndrome. Autonomic symptoms and secondary generalisation may occur in these sleep-related epilepsies.
Epilepsy
Published in Hani Ts Benamer, Essential Revision Notes in Clinical Neurology, 2017
➤ Parietal lobe seizures can present with sensory symptoms, and occipital seizures may cause visual symptoms such as visual hallucinations with impairment in sensations of colours, shapes and patterns. Both parietal and occipital epilepsy are uncommon.
Seizures
Published in Michael B O’Neill, Michelle Mary Mcevoy, Alf J Nicholson, Terence Stephenson, Stephanie Ryan, Diagnosing and Treating Common Problems in Paediatrics, 2017
Michael B O’Neill, Michelle Mary Mcevoy, Alf J Nicholson, Terence Stephenson, Stephanie Ryan
Co-morbidities affecting the child with epilepsy. Pitfall: ensure parents are aware of the co-morbidities associated with epilepsy, which include migraine (associated with rolandic and occipital epilepsy), attention deficit hyperactivity disorder, depression and anxiety.
Ictal Lid Movements: Blinks and Lid Saccades
Published in Neuro-Ophthalmology, 2021
Nataliya Pyatka, Prasannakumar Gajera, Guadalupe Fernandez-Bacavaca, Samden D. Lhatoo, Aasef G. Shaikh
We report two cases, one with a parietal epileptogenic zone and the other with temporal lobe epilepsy. In both, the cortical electrical activity correlated with the discrete types of pathological lid movements. Here we learned that patients with parieto-occipital epilepsy can have ictal lid movements that are yoked and characterised by rapid upward movements instantaneously followed by slow downward drifts. These cyclic movements strikingly resemble nystagmus, but unlike typical jerk nystagmus of the eye, the rapid upward phase (the quick phase) of these lid movements is pathological. The quick phase seems to be triggered by the activity in the parietal eye field and therefore, must involve a saccadic mechanism and share features of the upward lid saccades. In our opinion, the terms “ictal lid saccade” or “ictal lid nystagmus” are appropriate to describe this phenomenon. In contrast, patients with temporal lobe epilepsy have ipsilateral lid movements with rapid downward trajectories resembling reflex or spontaneous blinks.