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We studied seven consecutive patients who experienced amaurosis as a prominent feature of their seizures.The mean age of seizure onset was 4 years.Six patients had MRI abnormalities including ischemic,traumatic,and space-occupying lesions,with five limited to the parietal-occipital region.Six patients had unilateral,posterior interictal spike and slow wave complexes.Four patients experienced severe postictal headache and nausea.Absence of a family history of seizures distinguished the patients with MRI lesions from previously presented series of benign occipital lobe epilepsy.We conclude that the constellation of ictal amaurosis,occipital paroxysms,and nonlesional epilepsy;MRI is recommended for such patients without a family history of similar seizures. |
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amaurosis fugax blindness blindness,transient cortical blindness electroencephalogram,abnormalities of headache headache,postictal migraine MRI MRI,abnormal nausea and vomiting postictal neurologic deficits seizure seizure,occipital lobe seizure,visual loss with visual loss visual loss,transient
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