Early (PANAYIOTOPOULOS) or BECOP (Benign epilepsy of childhood with occipital paroxysms).
- Or Self limiting epilepsy with autonomic symptoms (SeLEAS)
- Usually 3-5yrs but can be 1 to 15
- Mostly nocturnal
- Characteristically autonomic – pallor/flushing/vomiting/coughing!
- Head/eye deviation, then tonic-clonic (one sided or generalized)
- Often status, but actually seizures infrequent
- EEG can be normal – sleep EEG more sensitive
- Good prognosis – most remit with a few years and have just a few seizures
- Valproate or carbamazepine
- Usually middle childhood, cf above
- Can be triggered by going from dark to light areas or vice versa
- Visual – partial or complete loss, flashing lights, multi-coloured circles, balls, rarely hallucinations
- Headache during or after – cf migraine!
- Often one side jerks; rarely generalized
- Carbamazepine or Valproate
- Usually benign, most remit by puberty