Objective To study the clinical profile and therapeutic outcome of occipital lobe epilepsy in Kuwaiti children attending epilepsy clinic in a regional hospital.
Design A retrospective case series study over two years.
Setting Analysis of case files from the epilepsy clinic of a regional hospital who were diagnosed with occipital epilepsy between Aug 2009 to Aug 2011.
Subjects Eleven cases were retrieved for study.
Results Ten children had the late childhood form of Gastaut (age 6–12 years) and one had the early childhood form of Panayiotopoulos (age 3 years). Ten children had visual symptoms all of whom presented with sudden onset and cessation of blindness lasting for seconds to few minutes and 5 had visual hallucinations. Half of them had headache. Ten were idiopathic and one of them had focal occipital encephalomalacia. The EEG showed occipital spikes in 8 cases, extraoccipital spikes in 2 cases and generalized discharges in 1 case. All the patients responded well to antiepileptic drugs (carbamazepine, oxcarbazepine, sodium valproate, leviteracetam).
Conclusion Occipital epilepsy, though rare must be considered in children with paroxysms of transient visual symptoms with or without head ache and must be distinguished from migraine.