Prevalence and characteristics of visual aura in idiopathic generalized epilepsy

被引：24

作者：

Gungor-Tuncer, Ozlem ^{[1
]}

Baykan, Betul ^{[1
]}

Altindag, Ebru ^{[1
]}

Bebek, Nerses ^{[1
]}

Gurses, Candan ^{[1
]}

Gokyigit, Aysen ^{[1
]}

机构：

[1] Istanbul Univ, Istanbul Med Fac, Dept Neurol, Istanbul Univ Epilepsy Ctr EPIMER, TR-34390 Istanbul, Turkey

来源：

EPILEPSY & BEHAVIOR | 2012年 / 25卷 / 04期

关键词：

Idiopathic generalized epilepsy; EEG; Visual aura; Seizure; Migraine; MIGRAINE;

D O I：

10.1016/j.yebeh.2012.09.004

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Some patients with idiopathic/genetic generalized epilepsy (IGE) experience visual aura, which can confuse the diagnosis. We sought to determine the frequency and characteristics of visual auras in IGE patients. Among the 176 IGE patients, 4 men and 7 women reported visual auras (mean age - 24 years). Syndromic diagnoses were juvenile myoclonic epilepsy in four, eyelid myoclonia with absences (EMA) in three, juvenile absence epilepsy in three, and other in one. Visual auras consisted of flashing lights, macropsia, illusional movements, and blindness. Eyelid myoclonia with absences was significantly more common in the group with visual aura (3 of 11 patients vs. 8 of 165 IGE patients; P=0.02). Furthermore, photosensitivity was found significantly more common in IGE patients with visual aura (90% vs 46% of the total IGE patients) (P=0.004). In conclusion, the visual auras do not exclude a diagnosis of IGE. The presence of visual aura in the EMA syndrome is also remarkable. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：573 / 576

页数：4

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