{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:23:04Z","timestamp":1779150184172,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pediatric occipital epileptiform discharges occur in various clinical settings, including self-limited and treatment-resistant epilepsies. The study objective is to determine electro-clinical predictors for prognosis in children with occipital epileptiform discharges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>205 patients with occipital epileptiform discharges were classified into seizure groups: self-limited occipital (SLO) (n = 57), including Panayiotopoulos and Gastaut syndrome; non-self-limited occipital (non-SLO) (n = 98), including various seizure etiologies; genetic-generalized (n = 18); febrile (n = 5); and no-seizure (n = 27) groups. Electro-clinical features of the SLO and non-SLO were compared, as this is of most clinical relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The median age of seizure onset was 3 years (range: 0-19). Occipital epileptiform discharges with frontal\/central positivity were present in both groups, but more common in the SLO than non-SLO groups; 21\/57 (36.8%) and 19\/98 (19.4%), respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .022). However, when occipital epileptiform discharges with tangential dipoles (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .048) were accompanied by abnormal ictal eye movements (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .037), they were predictive of SLO epilepsy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In our cohort, occipital epileptiform discharges with tangential dipole detected by visual analysis and abnormal ictal eye movements were predictive of SLO epilepsy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0883073820984042","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T18:36:17Z","timestamp":1610562977000},"page":"530-536","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric Occipital Spikes at a Single Center Over 26 Years and the Significance of Tangential Dipole"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7620-4868","authenticated-orcid":false,"given":"Anita N.","family":"Datta","sequence":"first","affiliation":[{"name":"BC Children\u2019s Hospital"},{"name":"BC Children\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7922-3968","authenticated-orcid":false,"given":"Laura","family":"Wallbank","sequence":"additional","affiliation":[{"name":"BC Children\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johann","family":"Micallef","sequence":"additional","affiliation":[{"name":"BC Children\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter K. 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