Benign occipital lobe seizures: Natural progression and atypical evolution
A 15-year-old boy suffered with two episodes of un-responsiveness lasting many hours once when he was 7 years and then when he was 9 years old. On both occasions, patient was travelling in a train with family.\nDuring these prolonged episodes, the boy suddenly went un-responsive and blue according to the mother. He also vomited during the first episode. There were no visual symptoms or jerking of limbs reported during both these events. This patient only underwent one routine EEG in 2005, which showed evidence for bilateral posterior spike and wave discharges. He responded well to CBZ []. Despite stopping anticonvulsants 2 years ago he has remained seizure free. The previous 4 years on medication were also seizure free. An EEG performed in 2012 as follow-up was normal. The diagnosis of occipital seizures/PS was made retrospectively based on the previous history and EEG changes.