Self-limited childhood occipital epilepsy

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ORPHA:25968OMIM:132090G40.0
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Overview

Self-limited childhood occipital epilepsy (also called benign childhood occipital epilepsy, or BCOE) is a type of epilepsy that starts in childhood and, in most cases, goes away on its own as the child grows older. The word 'occipital' refers to the back part of the brain, which handles vision — and that is exactly where the unusual electrical activity in the brain begins during a seizure. There are two main forms: the Panayiotopoulos type (which usually starts between ages 3 and 6) and the Gastaut type (which usually starts between ages 8 and 12). Both are considered 'self-limited,' meaning they tend to stop happening without treatment as the child reaches their teenage years. During a seizure, children may experience visual symptoms like seeing flashing lights, colored shapes, or temporary blindness. They may also feel sick to their stomach, vomit, or turn their head and eyes to one side. In the Panayiotopoulos type, seizures often happen during sleep and can last a long time, sometimes looking like a medical emergency even though they are usually not dangerous. In the Gastaut type, seizures are shorter but may happen more often. Most children with this condition live completely normal lives. Treatment with anti-seizure medications is sometimes used to reduce how often seizures happen, but many children do not need long-term medication because the epilepsy resolves on its own. The outlook for this condition is very positive, and it does not typically affect a child's intelligence or development.

Also known as:

Key symptoms:

Seeing flashing lights or colored spots during a seizureTemporary loss of vision during a seizureNausea and vomiting during or after a seizureEyes and head turning to one side during a seizureSeizures that happen mainly during sleep or just after wakingHeadache after a seizure, sometimes similar to a migraineUncontrolled movements of the body during a seizureDrooling or difficulty speaking during a seizureConfusion or drowsiness after a seizure endsSeizures that can last a long time (especially in the Panayiotopoulos type)

Clinical phenotype terms (6)— hover any for plain English
EEG with occipital focal spike wavesHP:0012011Visual hallucinationHP:0002367Visual gaze preferenceHP:0025518
Inheritance

Multifactorial

Caused by a mix of several genes and environmental factors

Age of Onset

Childhood

Begins in childhood, roughly ages 1 to 12

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Self-limited childhood occipital epilepsy.

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No actively recruiting trials found for Self-limited childhood occipital epilepsy at this time.

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Search ClinicalTrials.gov ↗Join the Self-limited childhood occipital epilepsy community →

No specialists are currently listed for Self-limited childhood occipital epilepsy.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Self-limited childhood occipital epilepsy.

Search all travel grants →NORD Financial Assistance ↗

Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.Does my child need to take daily medication, or can we wait and watch?,How long is my child likely to have seizures before they stop on their own?,Should I have emergency rescue medication at home, and how do I use it?,Are there any activities my child should avoid while seizures are happening?,What should I tell my child's school about this condition?,When should I bring my child to the emergency room versus managing a seizure at home?,Will my child need an EEG or MRI again in the future to check on progress?

Common questions about Self-limited childhood occipital epilepsy

What is Self-limited childhood occipital epilepsy?

Self-limited childhood occipital epilepsy (also called benign childhood occipital epilepsy, or BCOE) is a type of epilepsy that starts in childhood and, in most cases, goes away on its own as the child grows older. The word 'occipital' refers to the back part of the brain, which handles vision — and that is exactly where the unusual electrical activity in the brain begins during a seizure. There are two main forms: the Panayiotopoulos type (which usually starts between ages 3 and 6) and the Gastaut type (which usually starts between ages 8 and 12). Both are considered 'self-limited,' meaning t

How is Self-limited childhood occipital epilepsy inherited?

Self-limited childhood occipital epilepsy follows a multifactorial inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Self-limited childhood occipital epilepsy typically begin?

Typical onset of Self-limited childhood occipital epilepsy is childhood. Age of onset can vary across affected individuals.