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EEG with occipital focal spikes

MedGen UID:
868672
•Concept ID:
C4023075
•
Finding
HPO: HP:0012016

Definition

EEG with focal sharp transient waves of a duration less than 80 msec in the occipital region. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEEG with occipital focal spikes

Conditions with this feature

Intellectual developmental disorder, X-linked, syndromic, with pigmentary mosaicism and coarse facies
MedGen UID:
1794140
•Concept ID:
C5561930
•
Disease or Syndrome
X-linked syndromic intellectual developmental disorder with pigmentary mosaicism and coarse facies (MRXSPF) is characterized by a phenotypic triad of severe developmental delay, coarse facial dysmorphisms, and Blaschkoid pigmentary mosaicism. Additional clinical features may include epilepsy, orthopedic abnormalities, hypotonia, and growth abnormalities. The disorder affects both males and females (Villegas et al., 2019; Diaz et al., 2020).
See: Condition Record
Intellectual developmental disorder, X-linked, syndromic, with pigmentary mosaicism and coarse facies

Professional guidelines

PubMed

Photosensitive occipital lobe epilepsy: Delineation of an under-recognized reflex epilepsy syndrome according to the new ILAE criteria and long-term follow-up.
Cerrahoğlu Şirin T, Yılmaz T, Elmalı AD, Bebek N, Demirbilek V, Baykan B
Epileptic Disord 2023 Apr;25(2):187-199. Epub 2023 May 10 doi: 10.1002/epd2.20011. PMID: 36992562
Panayiotopoulos syndrome: diagnosis and management.
Parisi P, Villa MP, Pelliccia A, Rollo VC, Chiarelli F, Verrotti A
Neurol Sci 2007 Apr;28(2):72-9. doi: 10.1007/s10072-007-0790-4. PMID: 17464469
New insights into the clinical management of partial epilepsies.
Hirsch E, de Saint-Martin A, Arzimanoglou A
Epilepsia 2000;41 Suppl 5:S13-17. doi: 10.1111/j.1528-1157.2000.tb06042.x. PMID: 11045435

Recent clinical studies

Etiology

Idiopathic focal epilepsies: the "lost tribe".
Pal DK, Ferrie C, Addis L, Akiyama T, Capovilla G, Caraballo R, de Saint-Martin A, Fejerman N, Guerrini R, Hamandi K, Helbig I, Ioannides AA, Kobayashi K, Lal D, Lesca G, Muhle H, Neubauer BA, Pisano T, Rudolf G, Seegmuller C, Shibata T, Smith A, Striano P, Strug LJ, Szepetowski P, Valeta T, Yoshinaga H, Koutroumanidis M
Epileptic Disord 2016 Sep 1;18(3):252-88. doi: 10.1684/epd.2016.0839. PMID: 27435520
Electromagnetic fields and EEG spiking rate in patients with focal epilepsy.
Curcio G, Mazzucchi E, Della Marca G, Vollono C, Rossini PM
Clin Neurophysiol 2015 Apr;126(4):659-66. Epub 2014 Aug 11 doi: 10.1016/j.clinph.2014.07.013. PMID: 25163416
Idiopathic focal epilepsies.
Vigevano F, Specchio N, Fejerman N
Handb Clin Neurol 2013;111:591-604. doi: 10.1016/B978-0-444-52891-9.00061-0. PMID: 23622206
Pediatric focal epilepsy syndromes.
Sánchez Fernández I, Loddenkemper T
J Clin Neurophysiol 2012 Oct;29(5):425-40. doi: 10.1097/WNP.0b013e31826bd943. PMID: 23027100
Paradoxical sleep and its chemical/structural substrates in the brain.
Jones BE
Neuroscience 1991;40(3):637-56. doi: 10.1016/0306-4522(91)90002-6. PMID: 2062436

Diagnosis

Visual phenomena and anatomo-electro-clinical correlations in occipital lobe seizures.
Maillard L, Ferrand M, Aron O, Cheval M, Tyvaert L, Jonas J, Vignal JP
Rev Neurol (Paris) 2022 Sep;178(7):644-648. Epub 2022 Jul 26 doi: 10.1016/j.neurol.2022.06.001. PMID: 35906139
Idiopathic focal epilepsies.
Vigevano F, Specchio N, Fejerman N
Handb Clin Neurol 2013;111:591-604. doi: 10.1016/B978-0-444-52891-9.00061-0. PMID: 23622206
Pediatric focal epilepsy syndromes.
Sánchez Fernández I, Loddenkemper T
J Clin Neurophysiol 2012 Oct;29(5):425-40. doi: 10.1097/WNP.0b013e31826bd943. PMID: 23027100
Occipital lobe seizures and epilepsies.
Adcock JE, Panayiotopoulos CP
J Clin Neurophysiol 2012 Oct;29(5):397-407. doi: 10.1097/WNP.0b013e31826c98fe. PMID: 23027097
Epileptiform electroencephalographic patterns.
Westmoreland BF
Mayo Clin Proc 1996 May;71(5):501-11. doi: 10.4065/71.5.501. PMID: 8628033

Therapy

Idiopathic focal epilepsies: the "lost tribe".
Pal DK, Ferrie C, Addis L, Akiyama T, Capovilla G, Caraballo R, de Saint-Martin A, Fejerman N, Guerrini R, Hamandi K, Helbig I, Ioannides AA, Kobayashi K, Lal D, Lesca G, Muhle H, Neubauer BA, Pisano T, Rudolf G, Seegmuller C, Shibata T, Smith A, Striano P, Strug LJ, Szepetowski P, Valeta T, Yoshinaga H, Koutroumanidis M
Epileptic Disord 2016 Sep 1;18(3):252-88. doi: 10.1684/epd.2016.0839. PMID: 27435520
Pediatric focal epilepsy syndromes.
Sánchez Fernández I, Loddenkemper T
J Clin Neurophysiol 2012 Oct;29(5):425-40. doi: 10.1097/WNP.0b013e31826bd943. PMID: 23027100
Occipital lobe seizures and epilepsies.
Adcock JE, Panayiotopoulos CP
J Clin Neurophysiol 2012 Oct;29(5):397-407. doi: 10.1097/WNP.0b013e31826c98fe. PMID: 23027097
Panayiotopoulos syndrome: diagnosis and management.
Parisi P, Villa MP, Pelliccia A, Rollo VC, Chiarelli F, Verrotti A
Neurol Sci 2007 Apr;28(2):72-9. doi: 10.1007/s10072-007-0790-4. PMID: 17464469
New insights into the clinical management of partial epilepsies.
Hirsch E, de Saint-Martin A, Arzimanoglou A
Epilepsia 2000;41 Suppl 5:S13-17. doi: 10.1111/j.1528-1157.2000.tb06042.x. PMID: 11045435

Prognosis

International League Against Epilepsy classification and definition of epilepsy syndromes with onset in childhood: Position paper by the ILAE Task Force on Nosology and Definitions.
Specchio N, Wirrell EC, Scheffer IE, Nabbout R, Riney K, Samia P, Guerreiro M, Gwer S, Zuberi SM, Wilmshurst JM, Yozawitz E, Pressler R, Hirsch E, Wiebe S, Cross HJ, Perucca E, Moshé SL, Tinuper P, Auvin S
Epilepsia 2022 Jun;63(6):1398-1442. Epub 2022 May 3 doi: 10.1111/epi.17241. PMID: 35503717
Idiopathic focal epilepsies.
Vigevano F, Specchio N, Fejerman N
Handb Clin Neurol 2013;111:591-604. doi: 10.1016/B978-0-444-52891-9.00061-0. PMID: 23622206
Pediatric focal epilepsy syndromes.
Sánchez Fernández I, Loddenkemper T
J Clin Neurophysiol 2012 Oct;29(5):425-40. doi: 10.1097/WNP.0b013e31826bd943. PMID: 23027100
Occipital lobe seizures and epilepsies.
Adcock JE, Panayiotopoulos CP
J Clin Neurophysiol 2012 Oct;29(5):397-407. doi: 10.1097/WNP.0b013e31826c98fe. PMID: 23027097
Current trends in electroencephalography.
Blume WT
Curr Opin Neurol 2001 Apr;14(2):193-7. doi: 10.1097/00019052-200104000-00010. PMID: 11262735

Clinical prediction guides

Idiopathic focal epilepsies: the "lost tribe".
Pal DK, Ferrie C, Addis L, Akiyama T, Capovilla G, Caraballo R, de Saint-Martin A, Fejerman N, Guerrini R, Hamandi K, Helbig I, Ioannides AA, Kobayashi K, Lal D, Lesca G, Muhle H, Neubauer BA, Pisano T, Rudolf G, Seegmuller C, Shibata T, Smith A, Striano P, Strug LJ, Szepetowski P, Valeta T, Yoshinaga H, Koutroumanidis M
Epileptic Disord 2016 Sep 1;18(3):252-88. doi: 10.1684/epd.2016.0839. PMID: 27435520
Pediatric focal epilepsy syndromes.
Sánchez Fernández I, Loddenkemper T
J Clin Neurophysiol 2012 Oct;29(5):425-40. doi: 10.1097/WNP.0b013e31826bd943. PMID: 23027100
Occipital lobe seizures and epilepsies.
Adcock JE, Panayiotopoulos CP
J Clin Neurophysiol 2012 Oct;29(5):397-407. doi: 10.1097/WNP.0b013e31826c98fe. PMID: 23027097
Infantile spasms in tuberous sclerosis complex.
Curatolo P, Seri S, Verdecchia M, Bombardieri R
Brain Dev 2001 Nov;23(7):502-7. doi: 10.1016/s0387-7604(01)00300-x. PMID: 11701245
Current trends in electroencephalography.
Blume WT
Curr Opin Neurol 2001 Apr;14(2):193-7. doi: 10.1097/00019052-200104000-00010. PMID: 11262735

Recent systematic reviews

Electroencephalography during normotensive and hypertensive pregnancy: a systematic review.
Brussé IA, Peters NC, Steegers EA, Duvekot JJ, Visser GH
Obstet Gynecol Surv 2010 Dec;65(12):794-803. doi: 10.1097/OGX.0b013e31821286f1. PMID: 21411024

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