Self-limited epilepsy with autonomic seizures: A case report

Abstract

Self-limited epilepsy with autonomic seizures, formerly known as benign occipital epilepsy of childhood or Panayiotopoulos syndrome is a focal epilepsy that is part of the epileptic syndromes with onset during childhood. The objective of this report is to raise awareness about its importance and describe the clinical manifestations, timely diagnosis, and treatment. A pediatric patient admitted with gastrointestinal manifestations is presented. The autonomic manifestations must be considered as part of the clinical spectrum that includes this disease and the digestive and autonomic manifestations that mask the diagnosis, sometimes even in the absence of motor seizures themselves. Electroencephalographic confirmation was performed, avoiding cataloging it in other differential diagnoses.

Keywords: SeLEAS; autonomic seizures; benign occipital epilepsy of childhood; panayiotopoulos syndrome; pediatrics.

Figure 1.

(a) Sleep record, (b) awake record: (sensitivity 15 and 7 Mv/mm; speed 30 mm/s; high cut 70 Hz; low cut 1 Hz), Spike-wave complexes at 1.5–3 Hz are shown with a predominance in bilateral occipital regions during both sleep and wakefulness. These are evidenced on multiple occasions along the 12-h video EEG monitoring. Source: original by the authors.