By Aaron T Beck; Gary Emery; Ruth L Greenberg
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Extra info for Anxiety disorders and phobias : a cognitive perspective
The outcome of febrile seizures has been the subject of intensive study, which has concentrated on three aspects: the risk of recurrent febrile convulsions, the risk of neurological or developmental deficit, and the risk of subsequent non-febrile epilepsy. Although parents, on witnessing the first febrile convulsion, almost invariably feel that the child is about to die, the mortality risk from febrile convulsions is negligible. About 35% of susceptible children will have a second febrile seizure and 15% three or more.
Studies have shown that there are no clinical or EEG features that help differentiate epilepsy arising in the medial or lateral occipital cortex. Occasionally, occipital seizures denote mitochondrial disease (including Alpers disease), Lafora body disease, coeliac disease or metabolic disorders. The EEG in occipital or parietal epilepsy can be normal or show appropriate focal discharges, although often the epileptic disturbance is poorly localized without correlation to the ictal symptoms. Occipital spike–wave is characteristic of some types of focal occipital seizures, which can be confused with idiopathic generalized epilepsy.
Transitional cases have been labelled atypical benign partial epilepsy (ABPE) or pseudoLennox–Gastaut syndrome, and some authorities consider BECTS, ESES and the Landau–Kleffner syndrome to be part of a spectrum. Others consider febrile seizures, Panayiotopoulos syndrome and BECTS all to be manifestations of a continuum (the benign childhood seizure susceptibility syndrome). Atypical features include bouts of status epilepticus, atypical absence seizures, atonic seizures, and cognitive and behavioural impairment combined with an EEG pattern of slow spike–wave.
Anxiety disorders and phobias : a cognitive perspective by Aaron T Beck; Gary Emery; Ruth L Greenberg