We report, on two, school-age @entity1 with clinical and electroencephalographic features of early onset @entity302 with @entity7965 (CEOP) of the "Panayiotopoulos type" that showed atypical evolution. Neurological examination and brain imaging were normal in both. One @entity1 presented at age 2.5 years episodes of @entity25 . The EEG showed left occipital spikes during wakefulness and sleep. One year later, frequent @entity410 appeared in the lower limbs causing, " @entity11583 ". At the same time she presented with behavioral disturbances and @entity2026 . EEG showed bilateral spike-waves while awake and continuous spike-waves during slow sleep (CSWSS). After switching AEDs to @entity1245 , control of @entity410 along with improvement of behavior, and partial restoration of cognitive functions were achieved. The CSWSS disappeared and the last EEG at age 8 years only showed only isolated right occipital spikes. The other @entity1 had a personal and familial history of @entity410 . At 4 years of age she presented the first non- @entity410 during sleep, with @entity391 , followed by a generalized @entity410 . Partial control of @entity410 was obtained with antiepileptic drugs. At age 7, the @entity1 began to have weekly episodes of oculocephalic version, occasionally with secondary generalization. Repeated @entity410 and absences also appeared. EEG showed frequent bilateral spikes occupying predominantly the posterior regions while awake, and CSWSS. At 7.5 years the same electro-clinical picture persisted. @entity17979 was added to @entity1092 and clobazam. Fifteen days later, the @entity410 disappeared and the EEG showed less frequent bilateral occipital spikes. She is now 9 years old and she has been @entity410 -free for 18 months. Her present neuropsychological profile shows mild @entity1032 . The two @entity1 with typical electroclinical features of "Panayiotopoulos Type" CEOP developed an atypical evolution which, to our knowledge, has not been described previously.

Atypical evolution in @entity302 with XXXX (Panayiotopoulos type).

@entity1 :: ('9606', 'Species') :: ['children', 'girl', 'girls', 'child'] @entity11583 :: ('MESH:D020234', 'Disease') :: ['pseudoataxic gait'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure', 'seizures', 'tonic-clonic seizure', 'inhibitory seizures', 'febrile seizures'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental retardation'] @entity1092 :: ('MESH:D014635', 'Chemical') :: ['sodium valproate'] @entity391 :: ('MESH:D014839', 'Disease') :: ['oculocephalic deviation and ictal vomiting'] @entity2026 :: ('MESH:D001037', 'Disease') :: ['aphasia'] @entity7965 :: ('MESH:D006457', 'Disease') :: ['occipital paroxysms'] @entity1245 :: ('MESH:D001569', 'Chemical') :: ['benzodiazepines'] @entity302 :: ('MESH:D004827', 'Disease') :: ['childhood epilepsy'] @entity17979 :: ('MESH:D005013', 'Chemical') :: ['Ethosuximide'] @entity25 :: ('MESH:D012893', 'Disease') :: ['oculocephalic deviation, and ictal vomiting during nocturnal sleep']
@entity7965 :: (MESH:D006457,Disease) :: ['occipital paroxysms']
