ELECTROENCEPHALOGRAM AND EYE DISORDERS

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Abstract
A preliminary report is presented of electroencephalographic studies, both awake and asleep, on 1281 children under 16 years of age with respect to the presence of eye abnormalities, particularly strabismus. Thirty per cent of 36 children with strabismus but otherwise normal, and only 0.5% of 180 children entirely normal, had occipital abnormalities on their EEGs. In children with organic brain disease causing cerebral palsy, electroencephalographic foci in the occipital region occurred almost twice as frequently in the presence of abnormal eye findings. This relationship prevailed regardless of the presence or absence of seizures. In patients with eye disorders, electroencephalographic foci involving the occipital region were six times more common than all other foci combined. On the basis of this study, it would seem that children who show some neuro-ocular disorder should have a careful study of their EEGs for the detection of a possible central basis for their pathology. Conversely, patients who show an occipital focus on EEG should have a thorough ophthalmologic examination to rule out eye abnormalities.

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