{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T17:56:33Z","timestamp":1722621393742},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T00:00:00Z","timestamp":1641513600000},"content-version":"vor","delay-in-days":37,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sunflower epilepsy is a rare photosensitive and commonly pharmacoresistant reflex epilepsy characterized by stereotyped seizures involving turning of the head towards light, similar to a sunflower turning towards the sun, and waving of the hands in front of the eyes, sometimes followed by absence seizures, myoclonic jerks, and tonic\u2010clonic seizures. In the original description, seizures in sunflower epilepsy have been perceived as self\u2010induced, but contemporary case series suggest that hand waving corresponds to an ictal phenomenon and not to a precipitating factor. We describe a nine\u2010year\u2010old girl featuring absence seizures with eye rolling or fluttering associated with hand waving movements. The chronological sequence of events based on a video\u2010EEG\u2010documented episode of our patient adds to the controversy surrounding the hypothesis of \u201cself\u2010induced\u201d epileptic seizures in sunflower epilepsy. Shortly after epilepsy diagnosis, our patient presented with an EEG pattern of continuous spike waves in slow\u2010wave sleep, an EEG feature that has not been described before and may relate to the cognitive deficit observed in some patients with sunflower epilepsy. Continuous spike waves in slow\u2010wave sleep resolved, and lasting seizure freedom was achieved by a combination of ethosuximide and lamotrigine, which may be a possible alternative to valproic acid, particularly in girls and women of childbearing age. However, an attempt to taper anti\u2010seizure drugs two years later led to seizure recurrence. We suggest performing sleep EEG recordings for sunflower epilepsy, particularly in patients with developmental stagnation or regression, to timely diagnose and treat continuous spike waves in slow\u2010wave sleep syndrome.<\/jats:p>","DOI":"10.1684\/epd.2021.1353","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T06:52:20Z","timestamp":1640155940000},"page":"927-932","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Atypical presentation of sunflower epilepsy featuring an EEG pattern of continuous spike waves during slow\u2010wave sleep"],"prefix":"10.1002","volume":"23","author":[{"given":"Esmeralda","family":"Nava","sequence":"first","affiliation":[{"name":"Department of Neuropediatrics Children's Hospital Aarau  Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea Capone","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Neuropediatrics Children's Hospital Aarau  Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Striano","sequence":"additional","affiliation":[{"name":"Pediatric Neurology and Muscular Diseases Unit G. Gaslini Institute  Genova Italy"},{"name":"Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health University of Genova  Genova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Ramantani","sequence":"additional","affiliation":[{"name":"Department of Neuropediatrics University Children's Hospital Zurich  Switzerland"},{"name":"University of Zurich  Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2020.1161"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eplepsyres.2018.03.002"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2005.00314.x"},{"key":"e_1_2_5_5_1","first-page":"105","article-title":"Photogenic epilepsy","volume":"1","author":"Gastaut H.","year":"1951","journal-title":"Rev Prat"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2020.107470"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14723"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-018-0970-4"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1962.00450190051007"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2019.1054"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(00)00408-9"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2009.02211.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(83)90076-X"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992286400300511"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/94.4.781"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(74)90035-2"},{"key":"e_1_2_5_17_1","first-page":"175","article-title":"The sunflower syndrome","volume":"1","author":"Bettoni L.","year":"1986","journal-title":"Funct Neurol"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2014.0630"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2019.1059"}],"container-title":["Epileptic Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1684\/epd.2021.1353","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T07:36:59Z","timestamp":1713598619000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1684\/epd.2021.1353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1684\/epd.2021.1353"],"URL":"https:\/\/doi.org\/10.1684\/epd.2021.1353","archive":["Portico"],"relation":{},"ISSN":["1294-9361","1950-6945"],"issn-type":[{"value":"1294-9361","type":"print"},{"value":"1950-6945","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"2021-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}