Panayiotopoulos syndrome with convulsive status epilepticus at the onset: A long-term study

Verrotti, Alberto; Sebastiani, Marianna; Giordano, Lucio; Striano, Pasquale; Belcastro, Vincenzo; Franzoni, Emilio; Parisi, Pasquale; Pruna, Dario; Spalice, Alberto; Grosso, Salvatore

doi:10.1016/j.seizure.2014.05.013

Cited by 11 publications

(7 citation statements)

References 29 publications

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“…Around 50% of seizures are partial or generalized tonic. It is crucial that approximately fifty percent of seizures are prolonged, last more than 30 min and often evolve into autonomic status epilepticus [ 3 , 9 ]. The average episode duration in this type of PS is 2 h, whereas other PS patients present with a shorter duration of seizures -ca.…”

Section: Resultsmentioning

confidence: 99%

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Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Zontek

Paprocka

2022

Children

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One of the most common epileptic disorders in the pediatric population is Panayiotopoulos syndrome. Clinical manifestations of this idiopathic illness include predominantly autonomic symptoms and dysfunction of the cardiorespiratory system. Another feature constitutes prolonged seizures that usually occur at sleep. It is crucial to differentiate the aforementioned disease from other forms of epilepsy, especially occipital and structural epilepsy and non-epileptic disorders. The diagnostic process is based on medical history, clinical examination, neuroimaging and electroencephalography—though results of the latter may be unspecific. Patients with Panayiotopoulos syndrome (PS) do not usually require treatment, as the course of the disease is, in most cases, mild, and the prognosis is good. The purpose of this review is to underline the role of central autonomic network dysfunction in the development of Panayiotopoulos syndrome, as well as the possibility of using functional imaging techniques, especially functional magnetic resonance imaging (fMRI), in the diagnostic process. These methods could be crucial for understanding the pathogenesis of PS. More data arerequired to create algorithms that will be able to predict the exposure to various complications of PS. It also concerns the importance of electroencephalography (EEG) as a tool to distinguish Panayiotopoulos syndrome from other childhood epileptic syndromes and non-epileptic disorders.

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Section: Resultsmentioning

confidence: 99%

“…It affects children with normal physical and cognitive development. Some reports state that even sixpercent of children between the agesof 1 to 15 might be affected by PS, and in the age group of 3 to 6 years old, even 13 percent [ 3 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Zontek

Paprocka

2022

Children

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“…Другим специфичным клиническим признаком, опи-санным при идиопатической затылочной эпилепсии детского возраста, был инсультоподобный эпилепти-ческий статус парциальных приступов с вегетативны-ми симптомами [18,35,40]. Чтобы подчеркнуть ва-риабельность проявлений доброкачественных фокальных эпилептических синдромов в детстве, С. Panayiotopoulos и его коллеги использовали термин «доброкачественный синдром детского возраста, пред-располагающий к приступам» [29,30].…”

Section: том хunclassified

“…Иктальные изменения при синдроме Панайотопу-лоса характеризуются ритмичными мономорфными замедлениями тета-и дельта-активности, которые замет-но отличаются от эпизодической быстрой активности «зрительных» приступов при типе Гасто и начинаются с задних [1,9,24,40] или фронтальных областей [8,24]. Поскольку большинство пациентов с синдромом Пана-йотопулоса -дети в возрасте от 3 до 6 лет, во многих слу-чаях ЭЭГ-исследование включало сон, что и позволило выявить характерные изменения во время сна.…”

Section: том х делов левой височной области с признаками атрофии висоunclassified

Early Onset Benign Childhood Occipital Epilepsy (Panayiotopoulos Syndrome). A Case Report

Матюк¹,

Котов²,

Борисова³

et al. 2015

Rus. ž. det. nevrol.

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“…PS is characterized by seizures, often prolonged, with predominantly autonomic symptoms, as autonomic status epilepticus (ASE), but convulsive SE may be also seen [ 15 ]. The onset of seizures is 3–6 years in 76% of patients with PS [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Clinical and Electroencephalography (EEG) Consequences of Idiopathic Partial Epilepsies

2016

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Background:Idiopathic partial epilepsies of childhood (IPE) affect a considerable proportion of children. Three main electroclinical syndromes of IPE are the Benign Childhood Epilepsy with Centro-temporal Spikes (BECTS), Panayiotopoulos Syndrome (PS), and Childhood Epilepsy with Occipital Paroxysms (CEOP). In this study we investigated the longterm prognosis of patients with IPE and discussed the semiological and electroencephalography (EEG) data in terms of syndromic characteristics. Material/Methods:This study included a group of consecutive patients with IPE who had been followed since 1990. Demographic and clinical variables were investigated. Patients were divided into 3 groups -A: Cases suitable for a single IPE (BECTS, PS and CEOP); B: cases with intermediate characteristics within IPEs; and C: cases with both IPE and IGE characteristics. Long-term data regarding the individual seizure types and EEG findings were re-evaluated. Results:A total of 61 patients were included in the study. Mean follow-up duration was 7.8±4.50 years. The mean age at onset of seizures was 7.7 years. There were 40 patients in group A 40, 14 in group B, and 7 in group C. Seizure and EEG characteristics were also explored independently from the syndromic approach. Incidence of autonomic seizures is considerably high at 2-5 years and incidence of oromotor seizures is high at age 9-11 years. The EEG is most abnormal at 6-8 years. The vast majority (86%) of epileptic activity (EA) with parietooccipital is present at 2-5 years, whereas EA with fronto-temporal or multiple sites become more abundant between ages 6 and 11. Conclusions:Results of the present study provide support for the age-related characteristics of the seizures and EEGs in IPE syndromes. Acknowledgement of those phenomena may improve the management of IPEs and give a better estimate of the future consequences.

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Panayiotopoulos syndrome with convulsive status epilepticus at the onset: A long-term study

Abstract: CSE is not uncommon in PS and it may occur at the onset of benign childhood epilepsy, without leading to a poor prognosis.

Cited by 11 publications

References 29 publications

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Gastrointestinal and Autonomic Symptoms—How to Improve the Diagnostic Process in Panayiotopoulos Syndrome?

Early Onset Benign Childhood Occipital Epilepsy (Panayiotopoulos Syndrome). A Case Report

Long-Term Clinical and Electroencephalography (EEG) Consequences of Idiopathic Partial Epilepsies

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