Jaffe S J, Roach E S
Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC.
J Clin Neuroophthalmol. 1988 Dec;8(4):221-4.
Three youths with occipital seizures and intermittent visual loss are presented. All three had occipital epileptiform discharges. Visual loss occurred during seizures and improved with anticonvulsant medication. In the absence of an underlying structural lesion of the occipital lobe, occipital seizures in children often respond to antiepileptic medication and may spontaneously resolve. As occipital seizures are often associated with headaches and sometimes with vomiting, differentiating them from basilar migraine may be difficult. The possibility of ongoing seizure activity should be considered in a patient who presents with acute visual loss without an obvious cause.
本文介绍了三名患有枕叶癫痫发作和间歇性视力丧失的青少年。三人都有枕叶癫痫样放电。视力丧失在癫痫发作时出现，并通过抗惊厥药物治疗得到改善。在没有枕叶潜在结构性病变的情况下，儿童枕叶癫痫发作通常对抗癫痫药物有反应，并且可能会自发缓解。由于枕叶癫痫发作常伴有头痛，有时还伴有呕吐，因此将其与基底型偏头痛区分开来可能很困难。对于出现急性视力丧失且无明显原因的患者，应考虑持续癫痫活动的可能性。
