Page 112 - ILAE_Lectures_2015

Table 1. Main features of rolandic epilepsy, Panayiotopoulos syndrome and idiopathic childhood
epilepsy of Gastaut

Rolandic Panayiotopoulos Idiopathic childhood
epilepsy Syndrome occipital epilepsy of
Gastaut

Prevalence amongst children 15% 6% 0.5–1%

aged 1–15 years with non-

febrile seizures

Peak age at onset 7–10 years 3–6 years 8–11 years

Male to female ratio 1:5 11

Seizure characteristics

Typical onset with Hemifacial sensory-motor Autonomic symptoms Visual symptoms mainly

or oropharyngolaryngeal mainly with emesis with elementary visual

symptoms hallucinations

Hemifacial sensory-motor Common and often from Rare and not from onset Rare and not from onset

symptoms onset

Oropharyngolaryngeal Common and often from Rare and not from onset Have not been reported

symptoms onset

Speech arrest Common and often at onset Rare and not from onset Has not been reported

Hypersalivation Common and often at onset Rare and not from onset Has not been reported

Ictus emeticus Scarce and not from onset Common and often at Rare and not from onset

onset

Autonomic disturbances other Scarce and not from onset Common and often at Scarce and not from onset

than vomiting and onset

hypersalivation

Visual symptoms Have not been reported 7% but exceptionally at Common and often at

onset onset

Deviation of the eyes Frequent during sensory- Common and may be at Common but rarely at

motor symptoms onset onset

Ictal behavioural disturbances Scarce and not from onset Common and often at Have not been reported

onset

Duration for 1–3 minutes As a rule Rare As a rule

Duration of more than 5 Rare Common Rare

minutes

Partial status epilepticus Exceptional 40% Exceptional

(>30 min)

Total number of seizures 1–15 As a rule As a rule Rare