Panayiotopoulos Syndrome (Benign Occipital Epilepsy of Childhood)
Panayiotopoulos syndrome is a common benign idiopathic focal epilepsy of childhood that characteristically presents between 3 and 6 years of age.
Main Features
- Autonomous crises: Seizures consist predominantly of autonomic symptoms such as nausea, emetic vomiting, pallor, mydriasis, and incontinence.
- Long duration: It frequently presents as an autonomic state (seizures lasting more than 30 minutes), but with excellent long-term neurological prognosis.
- Characteristic EEG: It shows multifocal spikes, predominantly occipital, of great amplitude that attenuate with eye opening.