Volume 41, Issue 3 pp. 562-563
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Initial Clinical Manifestations of Seizures Originating from the Occipital Area

Hideki Muranaka M.D.

Hideki Muranaka M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Kazumasa Otani M.D.

Kazumasa Otani M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Yushi Inoue M.D.

Yushi Inoue M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Katsuyuki Fukushima M.D.

Katsuyuki Fukushima M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Kazuichi Yagi M.D.

Kazuichi Yagi M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Masakazu Seino M.D.

Masakazu Seino M.D.

National Epilepsy Center, Shizuoka Higashi Hospital, Shizuoka

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Summary

1. Oculogyric deviation was the most common initial seizure manifestation.

2. Oculogyric symptoms were accompanied by focal runs of 8–20 Hz spike patterns, and oculoclonic symptoms by 2.5–4 Hz patterns of high-amplitude slow waves.

3. Contralateral deviation toward ictal EEG foci was found in 9 (64%) out of 14 seizures, and ipsilateral deviation in 5 (36%). Patients with ipsilateral deviation were all younger than 13 years of age.

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