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Papers of the Week

2022 Apr




Presentation, Etiology, Outcome, and Differentiation of Visual Semiology of Adult Occipital Epilepsy From Visual Aura of Migraine Headache: A Prospective Study in a Tertiary Care Center in Bangladesh.


Occipital epilepsy is an uncommon and likely underdiagnosed type of epilepsy that is often misdiagnosed as a migraine with aura. High clinical suspicion and subsequent electroencephalogram (EEG) and brain imaging lead to early diagnosis.  Methods: We recruited patients with occipital epilepsy based on visual semiology, structural abnormalities in the occipital region, or EEG changes who visited the Department of Neurology of Dhaka Medical College from June 2019 to January 2020. We documented the presentations, etiology, and outcomes at the 12-month follow-up. Additionally, we compared the clinical features of patients with occipital epilepsy (n = 10) and those with migraine with aura (n = 18).