Maher J, Ronen G M, Ogunyemi A O, Goulden K J
Pediatric Neurology Division, Dr. Charles A. Janeway Child Health Center, St. John's, Canada.
Epilepsia. 1995 Jan;36(1):52-7. doi: 10.1111/j.1528-1157.1995.tb01665.x.
The EEG in childhood epilepsy with occipital paroxysms (CEOP) was termed "distinctive" by Gastaut (1985) and Talwar et al. (1992) and "characteristic" by Herranz Tanarro et al. (1984), which suggests that the EEG is specific and diagnostic for CEOP. However, this hypothesis has been challenged (Newton and Aicardi, 1983; Beaumanoir and Grandjean, 1987). To test this, we reviewed 5,291 EEG reports made in 5 1/2 years in the only tertiary pediatric center in Newfoundland and Labrador. We identified 31 children who had one or more EEGs with occipital spike/sharp waves showing suppression of discharges with eye opening and normal background activity. Six had CEOP, 17 had benign nocturnal childhood occipital epilepsy, 5 had symptomatic epilepsy, 3 had unusual complex partial seizures (CPS), 4 had only provoked seizures, and 2 had no definite seizures. Overlap between seizure types was common. The EEG criteria for CEOP are not very specific.
儿童枕叶阵发性癫痫（CEOP）的脑电图被加斯陶（1985年）和塔尔瓦尔等人（1992年）称为“独特的”，被埃兰兹·塔纳罗等人（1984年）称为“特征性的”，这表明脑电图对CEOP具有特异性和诊断性。然而，这一假设受到了挑战（牛顿和艾卡尔迪，1983年；博马努瓦尔和格兰让，1987年）。为了验证这一点，我们回顾了纽芬兰和拉布拉多唯一的三级儿科中心在5年半时间内做出的5291份脑电图报告。我们确定了31名儿童，他们有一次或多次脑电图显示枕叶棘波/尖波，睁眼时放电受到抑制，背景活动正常。其中6名患有CEOP，17名患有儿童良性枕叶夜间癫痫，5名患有症状性癫痫，3名患有不寻常的复杂部分性发作（CPS），4名仅有诱发性癫痫发作，2名没有明确的癫痫发作。癫痫发作类型之间的重叠很常见。CEOP的脑电图标准不是很特异。
