Occipital spikes suggested " childhood epilepsy with occipital paroxysms " of Gastaut; multifocal spikes suggested symptomatic epilepsies with poor prognosis.
2.
Twenty-one were otherwise normal children ( idiopathic cases constituting what is now considered Panayiotopoulos syndrome ), and 3 had symptomatic epilepsies.
3.
In the case of symptomatic epilepsy, it is often determined by MRI or other neuroimaging techniques that there is some degree of damage to a large number of neurons.