Clinical Study

Making Memories: The Development of Long-Term Visual Knowledge in Children with Visual Agnosia

Table 1

Clinical characteristics for each child*.

ā€‰ L.G.R.

Age (years)121012
(i) at seizure onset/
(ii) at last seizure
0,2/6; 9/still present6/9,56/9,5
Birth and deliveryHypoglycemia (neonatal convulsions)Perinatal hypoxiaUneventful
Visual field Bilateral inferior quadrantanopia Right inferior quadrantanopia Right hemianopia
Interictal EEG abnormalitiesLeft temporoparietooccipital spikes and slow waves with contralateral spreadBilateral asynchronous temporoparietooccipital spikes and diffuse spike and wave dischargesDiffuse spikes and waves while awake and diffuse polyspike discharges during sleep, left predominance
Ictal EEGNANADiffuse spike discharge with left predominance
Seizure semiologyUnresponsiveness, head deviation to the left, hypotonia, and falls(a) During sleep: right arm jerks and ocular revulsion
(b) While awake: visual hallucinations, pallor, cyanosis, right arm jerks, and head and eye deviation to the right
(a) Amaurosis, abnormal eye movement, and unresponsiveness;
(b) Head and eye deviation to the right, stiffening with frequent falls; postictal aphasia
Treatment VPA + ESM + TPMCBZLTG + OxCBZ

NA: not available; CBZ: carbamazepine; ESM: ethosuccimide; LTG: lamotrigine; OxCBZ: oxcarbazepine; TPM: topiramate; VPA: valproic acid.