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Sunflower syndrome: a poorly understood photosensitive epilepsy

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DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
卷 63, 期 3, 页码 259-262

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WILEY
DOI: 10.1111/dmcn.14723

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Sunflower syndrome is a rare photosensitive epilepsy characterized by handwaving motions that can induce seizures and a strong attraction to sunlight and other light sources. Misdiagnosis is common, and traditional anticonvulsant medications are often ineffective, leading patients to resort to behavioral interventions. Further research is needed to understand the natural history of the syndrome and explore more effective treatment options.
Sunflower syndrome is a rare photosensitive epilepsy which has received little attention in recent medical literature. The historical cases documenting the epilepsy's stereotyped handwaving motion in front of light characterized the behavior as self-inducing seizures via mimic of stroboscopic effect. However, the relationship between handwaving episodes and attendant generalized electroencephalogram abnormalities, and an appreciation of the compulsive attraction the sun and other light sources hold for these patients, suggest the handwaving motion may be a part of the seizure rather than a mechanism of self-induction. The lack of awareness of Sunflower syndrome often leads to misdiagnosis. The seizures are often refractory to traditional anticonvulsant medication, and patients resort to behavioral intervention, such as hats and sunglasses, to reduce handwaving episodes. Further study is required to determine the syndrome's natural history and to identify more effective treatment options.

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