AI Article Synopsis
- The study aimed to evaluate the prevalence of photosensitivity during EEG recordings in newly referred adult patients at an Epilepsy Center, despite it being more common in younger populations.
- Researchers reviewed EEGs from 344 adult patients, finding photoparoxysmal responses in only 1.5% of subjects, all of whom were female and had either idiopathic generalized epilepsy or Doose syndrome.
- The findings suggest that while intermittent photic stimulation can trigger typical psychogenic nonepileptic seizures, it is not essential for diagnosing adults with epilepsy, as photosensitivity was rare in this group.
Article Abstract
Purpose: Photosensitivity is a phenomenon that may be elicited by standardized intermittent photic stimulation during EEG recording and is detected more frequently in children and adolescents. Nevertheless, at our Epilepsy Center, we routinely assess photosensitivity in all newly referred adult patients. In this investigation, we sought to address the diagnostic yield under the prerequisites described.
Methods: We reanalyzed all routine EEG recordings among referrals to the department of adults during the first six months of 2019, including a simultaneous video that is always coregistered in our center. The prevalence of abnormal findings during photic stimulation was assessed.
Results: Intermittent photic stimulation was performed on 344 patients. Photoparoxysmal response were detected in five subjects (1.5%). All patients were female. Four patients were diagnosed with idiopathic generalized epilepsy, and one with Doose syndrome. Photomyogenic responses were recorded in 1.1% and only in patients with psychogenic nonepileptic seizures. In two subjects with psychogenic nonepileptic seizures, the typical seizure was provoked by intermittent photic stimulation (8.7% of all subjects with psychogenic nonepileptic seizures in this cohort). Photoparoxysmal response was not detected in any subject with focal epilepsy, syncope, or other nonepileptic paroxysmal events. In every case of photoparoxysmal responses, increased photosensitivity had already been reported before recording.
Conclusions: In our study, photoparoxysmal responses was a rare phenomenon among adults with a preponderance of females and idiopathic generalized epilepsies. Intermittent photic stimulation may be helpful in provoking typical psychogenic nonepileptic seizures and thus abbreviate the diagnostic process. Provided a careful history, routine intermittent photic stimulation in adults with epilepsy does not appear to be mandatory.
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| http://dx.doi.org/10.1097/WNP.0000000000001040 | DOI Listing |
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