Pediatric Neurology Briefs 2012 66 COMMENT. A consensus view of Panayiotopoulos syndrome (PS) determined by an international consortium concludes that PS is a common idiopathic, benign seizure disorder of childhood that should be classified as an autonomic epilepsy, rather than an occipital epilepsy (Ferrie C et al. Dev Med Child Neurol 2006 Mar;48(3):236-40). Recognized by the ILAE as a distinct clinical entity within the spectrum of benign focal epilepsies of childhood, PS is manifested

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... ographically with multiple interictal spikes (Kokkinos V et al. Clin Neurophysiol 2010 Jun;121(6):859-69). Autonomic epilepsy is frequently misdiagnosed and treated as atypical migraine, syncope, or abdominal disorder, leading to unnecessary and sometimes invasive investigations. The present UK study of PS concludes that in atypical cases of suspected syncope in children having focal spikes in the EEG, a diagnosis of syncope-like epileptic seizures in PS should be considered.