Background: We carried out a clinical and electroencephalographic (EEG) stu
dy to reveal the pathophysiology of acute symptoms elicited by a TV animati
on program.
Methods: Clinical data and EEG were obtained from 20 patients ranging in ag
e from 6 to 30 years. A pattern presentation and an intermittent photic sti
mulation were performed.
Results: Of 20 patients, 13 had a convulsion and seven had other symptoms,
mainly nausea and/or vomiting. A photoparoxysmal response (PPR) was confirm
ed in 12 of 13 patients (92.3%) who had a convulsion. Only one of seven pat
ients (14.3%) without a convulsion showed a PPR. The incidence of PPR was s
ignificantly higher in patients with convulsion than those without convulsi
on. There were no significant differences in the family history of convulsi
on gender, parameters associated with TV watching and basic EEG between the
two groups. All patients with PPR had a convulsion or consciousness distur
bance.
Conclusion: Acute symptoms, such as convulsion and impairment of consciousn
ess, are supposed to be based on photosensitivity.