EEG case report


  • Sofia Aires Pediatric Neurology Service of Centro Hospitalar do Porto; Pediatric Service of Centro Hospitalar Tondela-Viseu
  • Joana Carvalho Pediatric Neurology Service of Centro Hospitalar do Porto;Pediatric Service of Centro Hospitalar Trás-os-Montes e Alto Douro.
  • Rui Chorão Pediatric Neurology Service and Neurofisiology Service of Centro Hospitalar do Porto;



epilepsy, Panayiotopoulos syndrome


Introduction: Panayiotopoulos syndrome is the second commonest idiopathic focal childhood epilepsy, with a peak of age at onset 4-5 years. Its incidence is usually underestimated, because of the typical unusual clinical manifestations of the seizures with predominant autonomic changes.

Case report: We describe a classical case of Panayiotopoulos syndrome, with recurrent seizures, but good response to antiepileptic drug treatment and remission after a few years.

Conclusion: The importance of the clinical suspicion of this epileptic syndrome and the usefulness of an electroencephalographic recording including a period of sleep is underlined. In most diagnosed cases prognosis is good, although therapy is usually necessary for a variable period of time.


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Covanis A, Ferrie, CD, Koutroumanidis M, Oguni H, Panayiotopoulos CP. Panayiotopoulos syndrome and Gastaur type idiopathic childhood occipital epilepsy. In: J Roger, M Bureau, Ch. Dravet, P. Genton, C.A. Tassinari & P. Wolf. Epileptic Syndromes in Infancy, Childhood and Adolescence (4th ed.). John Libbey Eurotext Ltd 2005, pp 227-53.

Covanis A. Panayiotopoulos Syndrome: a benign childhood autonomic epilepsy frequently imitating encephalitis, syncope, migraine, sleep disorder, or gastroenteritis. Pediatrics 2006;118;e1237.

Caraballo R, Cersósimo R, Fejerman N. Panayiotopoulos syndrome: A prospective study of 192 patients. Epilepsia 2007; 48(6): 1054-61.

Specchio N, Tivisano, DiCiommo, et al. Panayiotopoulos syndrome: A clinical, EEG, and neuropsychological study of 93 consecutive patients. Epilepsia 2010; 51(10):2098-107.



How to Cite

Aires S, Carvalho J, Chorão R. EEG case report. REVNEC [Internet]. 2016Feb.22 [cited 2024Jun.17];24(1):41-3. Available from:



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