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

Pratima Gulati; Kohei Kanaya; Puneet Jain; Shelly Weiss; Hiroshi Otsubo

doi:10.1016/j.jocn.2019.06.005

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

J Clin Neurosci. 2019 Sep:67:258-260. doi: 10.1016/j.jocn.2019.06.005. Epub 2019 Jun 18.

Authors

Pratima Gulati¹, Kohei Kanaya², Puneet Jain³, Shelly Weiss⁴, Hiroshi Otsubo⁵

Affiliations

¹ Epilepsy Program, Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address: pratima.gulati@sickkids.ca.
² Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan. Electronic address: kanaya@shinshu-u.ac.jp.
³ Epilepsy Program, Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Division of Pediatric Neurology, Department of Pediatrics, BL Kapur (BLK) Super Speciality Hospital, Pusa Road, New Delhi, India. Electronic address: puneet.jain@sickkids.ca.
⁴ Epilepsy Program, Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address: shelly.weiss@sickkids.ca.
⁵ Epilepsy Program, Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address: hiroshi.otsubo@sickkids.ca.

PMID: 31227404
DOI: 10.1016/j.jocn.2019.06.005

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.

Keywords: Depolarizing shift; Migraine; Non-lesional epilepsy; Occipital driving response; Occipital lobe epilepsy; Photic stimulation; Stereotactic EEG; Very slow wave; Visual hallucinations.

Publication types

Case Reports

MeSH terms

Adolescent
Brain Waves*
Epilepsies, Partial / diagnosis*
Epilepsies, Partial / physiopathology
Female
Hallucinations / diagnosis*
Hallucinations / physiopathology
Humans
Occipital Lobe / physiopathology
Seizures / diagnosis*
Seizures / physiopathology