Differential diagnosis and treatment of idiopathic occipital epilepsy and visual seizures in an adolescent case: Is “hallucination” always “hallucination”?
Abstract
Epilepsy is the most common childhood neurological disorder that affects 0.5 to 1.0 % of children younger than 16 years of age. Cognitive and behavioral impairments as well as various psychiatric and neurodevelopmental disorders can accompany this condition. Among children and adolescents, occipital epilepsy can be easily overlooked because it can mimic other epileptic syndromes and symptoms may be subtle. The initial complaint of a patient suffering from occipital epilepsy could be visual hallucinations. Child and adolescent psychiatrists must be aware of the difference between these neurological-originated hallucinations and others denoting psychopathologies.
References
- Panayiotopoulos CP. Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine. J Neurol Neurosurg Psychiatry. 1999;66:536–40.
- Taylor I, Scheffer IE, Berkovic SF. Occipital epilepsies: identification of specific and newly recognized syndromes. Brain 2003;126:753–69.
- Yalçın AD, Ertaşoğlu Toydemir H. Panayiotopoulos syndrome with a special emphasis of ictal semiologic features. Epilepsy Res. 2017;131:37-43.
- Ferrari-Marinho T, Macedo EF, Costa Neves RS, Costa LV, Tudesco IS, Carvalho KC et al. Gastaut type idiopathic childhood occipital epilepsy. Epileptic Disord. 2013;15:80-3.
- Specchio N, Wirrell EC, Scheffer IE, Nabbout R, Riney K, Samia P et al. 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. Epilepsia. 2022;63:1398-1442
Bir ergen olguda idiyopatik oksipital epilepsi ve görsel nöbetlerin ayırıcı tanı ve tedavisi: “halüsinasyon” her zaman “halüsinasyon” mudur?
Abstract
Epilepsi, 16 yaşından küçük çocukların %0,5 ila 1,0'ını etkileyen en yaygın çocukluk çağı nörolojik bozukluğudur. Bilişsel ve davranışsal bozuklukların yanı sıra çeşitli psikiyatrik ve nörogelişimsel bozukluklar da bu duruma eşlik edebilir. Çocuklar ve ergenler arasında oksipital epilepsi, diğer epileptik sendromları taklit edebildiği ve semptomlar silik olabildiği için kolayca gözden kaçabilir1,2. Oksipital epilepsiden muzdarip bir hastanın ilk şikayeti görsel halüsinasyonlar olabilir. Çocuk ve ergen psikiyatristleri, bu nörolojik kaynaklı halüsinasyonlar ile psikopatolojileri ifade eden diğerleri arasındaki farkın farkında olmalıdır.
Keywords
References
- Panayiotopoulos CP. Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine. J Neurol Neurosurg Psychiatry. 1999;66:536–40.
- Taylor I, Scheffer IE, Berkovic SF. Occipital epilepsies: identification of specific and newly recognized syndromes. Brain 2003;126:753–69.
- Yalçın AD, Ertaşoğlu Toydemir H. Panayiotopoulos syndrome with a special emphasis of ictal semiologic features. Epilepsy Res. 2017;131:37-43.
- Ferrari-Marinho T, Macedo EF, Costa Neves RS, Costa LV, Tudesco IS, Carvalho KC et al. Gastaut type idiopathic childhood occipital epilepsy. Epileptic Disord. 2013;15:80-3.
- Specchio N, Wirrell EC, Scheffer IE, Nabbout R, Riney K, Samia P et al. 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. Epilepsia. 2022;63:1398-1442
Details
| Primary Language | English |
|---|---|
| Subjects | Child and Adolescent Psychiatry |
| Journal Section | Letter to the Editor |
| Authors | |
| Publication Date | December 29, 2023 |
| Acceptance Date | September 8, 2023 |
| Published in Issue | Year 2023 Volume: 48 Issue: 4 |
