Journal
BRAIN & DEVELOPMENT
Volume 36, Issue 4, Pages 346-350Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.braindev.2013.06.002
Keywords
Photosensitivity; Idiopathic photosensitive occipital lobe epilepsy; Juvenile myoclonic epilepsy; Electroencephalography
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Idiopathic photosensitive occipital lobe epilepsy (IPOE) is an idiopathic localization-related epilepsy characterized by age-related onset, specific mode of precipitation, occipital photic-induced seizures frequently consisting of visual symptoms and good prognosis. This uncommon epilepsy, which usually starts in childhood or adolescence, has rarely been observed in families in which idiopathic generalized epilepsy also affects other members. We describe a nuclear family in which the proband showed electro-clinical features of idiopathic photosensitive occipital lobe epilepsy in childhood, which subsequently evolved into absences and a single generalized tonico-clonic seizure in early adolescence. His mother had features suggestive of juvenile myoclonic epilepsy. This case illustrates a continuum between focal and generalized entities in the spectrum of the so-called idiopathic (genetically determined) epileptic syndromes. (C) 2013 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.
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