Long term prognosis of symptomatic occipital lobe epilepsy secondary to neonatal hypoglycemia

Epilepsy Research
Hesham MontassirKaeko Ogura

Abstract

To report on long-term clinical course in patients with symptomatic occipital lobe epilepsy secondary to neonatal hypoglycemia. Six patients with neonatal hypoglycemia and symptomatic occipital lobe epilepsy were studied in our hospital through reviewing their medical records retrospectively. The median onset age of epilepsy was 2 years 8 months and median follow-up period was 12 years and 4 months. Initial seizure types were generalized convulsions in 4 patients, hemiconvulsion in 1, and infantile spasms in 1. Ictal manifestations of main seizures were identical to occipital lobe seizures, such as eye deviation, eye blinking, ictal vomiting, and visual hallucination. Seizure frequency was maximum during infancy and early childhood and decreased thereafter with no seizure in 2 patients, a few seizures a year in 3, and once a month in 1. All patients had status epilepticus in the early course of epilepsy. EEGs showed parieto-occipital spikes in all patients. MRI revealed cortical atrophy and T2 prolongation parieto-occipitally in 4 patients, hippocampal atrophy in 1, and unremarkable in 1. This study indicates that epilepsy secondary to neonatal hypoglycemia is intractable during infancy and early childhood with frequent status ...Continue Reading

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Citations

Feb 26, 2013·AJNR. American Journal of Neuroradiology·D S T WongE W Y Tam
May 28, 2014·Developmental Medicine and Child Neurology·Choong Yi Fong, A Simon Harvey
Jun 21, 2014·Developmental Medicine and Child Neurology·Samantha Chan
May 8, 2014·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Gwendolyn Gerner, Ida Sue Baron
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Jan 28, 2016·Annals of Pediatric Endocrinology & Metabolism·Ju Young YoonChoong Ho Shin
Jan 9, 2021·Seizure : the Journal of the British Epilepsy Association·Francesco PisaniGeorgia Ramantani
Jan 7, 2021·Journal of Child Neurology·Anita N DattaPeter K H Wong

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