"Mini" occipital seizures with accompanying ultra-slow waves (DC shift) on SEEG in a 14-year old child. (September 2019)

• Record Type: Journal Article
• Authors: Gulati, Pratima; Kanaya, Kohei; Jain, Puneet; Weiss, Shelly; Otsubo, Hiroshi
• Is Part Of: Journal of clinical neuroscience. Volume 67(2019)
• Page Start: 258
• Page End: 260
• Publication Date: 2019-09
• Subjects: Occipital driving response -- Non-lesional epilepsy -- Occipital lobe epilepsy -- Visual hallucinations -- Stereotactic EEG -- Photic stimulation -- Very slow wave -- Depolarizing shift -- Migraine; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2019.06.005
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Brief occipital seizures may be under-diagnosed. Brief focal ultra-slow waves on intracranial EEG accompanying brief occipital seizures were noted. Ictal scalp EEG may be misleading for deep-seated epileptogenic lesions. Abstract: Occipital lobe epilepsies can present with complex or elementary visual hallucinations and oculomotor symptoms like contraversive tonic or clonic deviation of eyes and head. Brief occipital seizures can be difficult to diagnose. We report a child with occipital plus epilepsy who was investigated with stereo-EEG.