We exist to improve the lives
of everyone affected by epilepsy

Benign epilepsy of childhood with occipital paroxysms (BECOP)

What is a syndrome?

A syndrome is a group of signs and symptoms that, added together, suggest a particular medical condition. In epilepsy, examples of these signs and symptoms would be things like the age at which seizures begin, the type of seizures, whether the child is male or female and whether they have physical or learning disabilities, or both. The results of an electroencephalogram (EEG) are also used to help identify epilepsy syndromes.

Epilepsy Action has more information about seizure types, learning disabilities, and the EEG

Benign epilepsy of childhood with occipital paroxysms

Benign epilepsy of childhood with occipital paroxysms (BECOP) can start at any age from 15 months to 17 years. But it usually begins in middle childhood between seven and 11 years of age. This epilepsy syndrome is often called ‘late-onset occipital epilepsy’ to separate if from ‘early-onset occipital epilepsy’, also known as Panayiotopoulos syndrome.

About one third of children have a family history of epilepsy. Some children have had seizures with feverish illnesses (febrile convulsions) before starting to have BECOP. Most children with this condition have normal neurological and learning abilities. Brain scans are normal.

Diagnosis

In the EEG, which records the electrical activity in the brain, abnormalities are seen in the occipital region (the very back part of the brain). As a result, some children may have seizures as they go from a dark area into a brighter area, or from a well-lit area into a dark area.

Epilepsy Action has more information on diagnosing epilepsy

Symptoms

The seizures usually affect vision. Complete or partial visual loss happens in about half the children who have this type of epilepsy. Some may experience a sensation of flashing lights, often multi-coloured spots. Visual hallucinations (seeing things) are rare, but happen in some children. About half have jerking of one side of the body. Semi-purposeful movements and behaviour is rarer. Generalised tonic-clonic seizures may also happen. Headaches, during or after the seizure, are a very common feature of this epilepsy syndrome.

Treatment

The seizures respond readily to epilepsy medicines such as sodium valproate (Epilim), or carbamazepine (Tegretol). There is currently no information as to whether the newer epilepsy medicines such as Lamictal (lamotrigine), Keppra (levetiracetam) or Topamax (topiramate) may also be helpful in this syndrome.

Epilepsy Action has more information on treating epilepsy

Prognosis (outlook)

The outlook is good for neurological development. There are educational problems only in rare cases. The seizures usually get better by puberty, but in five to 10 out of 100 cases they carry on into adulthood.

Advice and support organisations

Contact a Family
Freephone helpline (UK only): 0808 808 3555
Website: cafamily.org.uk
Email: info@cafamily.org.uk 

Pay it forward

This resource is freely available as part of Epilepsy Action’s commitment to improving life for all those affected by epilepsy.

On average it costs £414 to produce an advice and information page – if you have valued using this resource, please text FUTURE to 70500 to donate £3 towards the cost of our future work. Terms and conditions. Thank you

Code: 
S020.02

Our thanks

Epilepsy Action would like to thank
• Dr Richard Appleton, and Dr Rachel Kneen, consultant paediatric neurologists at Alder Hey Children’s Hospital, Liverpool, UK and
•  Dr Stewart Macleod, consultant paediatric neurologist at Royal Hospital for Sick Children, Glasgow, UK.
They have kindly prepared the information on this page. It is based on their own research, experience and expertise.

This information is exempt under the terms of The Information Standard.

  • Updated May 2014
    To be reviewed May 2017

There are no comments yet. Be the first to comment...