Flashing lights and epileptic spasms: should we be routinely performing intermittent photic stimulation in infants?

Epileptic Disord

Departments of Pediatrics, Clinical Neuroscience. Member, Alberta Children's Hospital Research Institute (ACHRI) & Hotchkiss Brain Institute (HBI), Alberta Children's Hospital, Calgary, AB, Canada.

Published: February 2022


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Article Abstract

Abnormal cortical excitation in response to photic stimulation (photosensitivity) has historically been associated with generalized epilepsies, in patients outside of infancy. At our tertiary centre, we encountered a patient with infantile spasms secondary to a mutation in ALG13 (c320A>G) who had photic stimulation-induced epileptic spasms over a broad range of frequencies on multiple EEGs, which were worse without treatment and decreased as treatment was escalated. This is the first reported case of epileptic spasms triggered by photic stimulation and it is unclear whether the phenomenon is unique to this patient, to those with this mutation or whether it is present in a broader group of patients with infantile spasms.

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http://dx.doi.org/10.1684/epd.2021.1370DOI Listing

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