- Visual epilepsy can be understood as an expression of epilepsy where visual phenomena may be prominent.
- Causes are diverse and may include genetic predisposition, changes in brain structure, cerebrovascular disease, trauma, infection, or cases where the cause is difficult to identify.
- Seizures occur when the electrical activity of brain neurons suddenly becomes abnormal, and in visual epilepsy, the brain regions or networks that process visual information may be involved.
- Representative patterns may include flashing lights, colors or shapes, and temporary changes in parts of the visual field, and may be accompanied by changes in consciousness, deviation of the eyes to one side, or convulsions.
- Symptoms and course may vary from person to person depending on the cause, the location where the seizure begins, age, and circumstances such as sleep deprivation or specific light stimuli.
- Seizures often last from 30 seconds to about 2 minutes, but if they exceed 5 minutes or recur without regaining consciousness between seizures, it can be considered an emergency.
- Diagnosis is determined by comprehensively evaluating the circumstances during the seizure and the witness's description, along with neurological examination, EEG, and, if necessary, brain MRI and blood test results.
- Since EEG may appear normal between seizures and visual symptoms may overlap with migraines or ophthalmic diseases, a diagnosis cannot be confirmed based on a single symptom or test result alone.
- Management is directed toward reducing safety risks caused by seizures, evaluating possible causes, and establishing a long-term treatment plan with a neurologist if necessary.
- Treatment focuses on anti-seizure medications tailored to the type of seizure and the individual's health status, and if a structural cause is identified, treatment for that cause can also be reviewed.