Brief History-Evolution of the Concept
By the 1950s it was recognized that there was a benign childhood occipital epilepsy (Gastaut 1950; Gibbs and Gibbs 1952). Gastaut later described a syndrome characterized by visual ictal symptoms with occipital spikes (Aicardi and Chevrie 1982). These spikes were present upon eye closure or loss of visual fixation. Panayiotopoulos described children with nocturnal tonic seizures with version, autonomic changes, vomiting, and occipital spikes. It was suggested that these patients, who often present at a younger age the Panayiotopoulos type of benign occipital epilepsy, and the ones who present later be called as Gastaut type (Caraballo et al. 2000). This was supported by the ILAE Task Force on Classification and Terminology (Engel 2001). Subsequently, because of a scarcity of new reports, Engel et al. raised some doubt on the existence of this syndrome (Engel 2006).
Current Classification
Idiopathic childhood occipital epilepsy of Gastaut (ICOE-G)...
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Kim, A.J., Nordli, D.R. (2010). Idiopathic Childhood Occipital Epilepsy of Gastaut. In: Panayiotopoulos, C.P. (eds) Atlas of Epilepsies. Springer, London. https://doi.org/10.1007/978-1-84882-128-6_142
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