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Early-Onset Occipital Idiopathic Epilepsy: A Syndrome To Be Treated?

Child Neuropsychiatry Department Neurological Institute Casimiro Mondino Foundation IRCCS University of Pavia Pavia, Italy pveggiot{at}unipv.it

Francesca Longaretti

Child Neuropsychiatry Department Neurological Institute Casimiro Mondino Foundation IRCCS University of Pavia Pavia, Italy

Antonino Romeo

Child Epilepsy Centre Ospedale Fatebenefratelli e Oftalmico Milano, Italy

Giuseppe Capovilla

Child Neuropsichiatry Department Ospedale C. Poma Mantova, Italy

Elisa Granocchio

Child Neuropsychiatry Department Neurological Institute Casimiro Mondino Foundation IRCCS University of Pavia Pavia, Italy

Maurizio Viri

Child Epilepsy Centre Ospedale Fatebenefratelli e Oftalmico Milano, Italy

Pierangelo Veggiotti

Child Neuropsychiatry Department Neurological Institute Casimiro Mondino Foundation IRCCS University of Pavia Pavia, Italy

The purpose of this study was to evaluate prognostic factors in early-onset childhood epilepsy with occipital paroxysms. We studied retrospectively a population of 46 patients, which was divided into three groups according to seizure frequency: group 1, patients experiencing a single seizure (33%); group 2, patients experiencing two to six seizures (48%); and group 3, patients experiencing more than six seizures (20%). The mean follow-up period was about 5 years in the three groups. At the end of the first 6 months of this retrospective follow-up, the average number of seizures was higher in group 3 (2.9 seizures) than in groups 2 and 1 (1.8 and 1 seizure, respectively). We suggest that low seizure frequency in the first 6 months of follow-up could have prognostic value. We propose that the introduction of anti-epilepsy drugs be delayed for 6 months following epilepsy onset and be subsequently limited to patients with frequent seizure recurrence. (J Child Neurol 2003; 18: 72—74).

Journal of Child Neurology, Vol. 18, No. 1, 72-74 (2003)
DOI: 10.1177/08830738030180011701


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