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The media and television and film industry often portray epilepsy as a photosensitive condition, which heightens concern about the safety of computers and video entertainments in people with epilepsy. However, only 5 of people with epilepsy actually are photosensitive, with onset usually in childhood but maximal in teenage years almost invariably it indicates an idiopathic generalized epilepsy. Photosensitivity can be easily diagnosed with EEG photic stimulation using alternating light strobe frequencies, so allowing patients to be easily identified and informed. For the vast majority of people with epilepsy there is no increased seizure risk when exposed to televisions, computer games, and flashing disco lights. However, for individuals who are photosensitive, it is reasonable to advise viewing television at a reasonable distance, in a well-lit room, and using the remote control to change channels.
Seizures may be precipitated by a variety of sensory stimuli, particularly in certain specific epilepsy syndromes. Most common are patients with primary (idiopathic) generalized epilepsies who display photosensitivity. Intermittent photic stimulation from video games, stroboscopic lights, or a variety of alternating dark light patterns may induce myoclonic jerks or generalized convulsions in these patients. Photosensitive-related seizures are at times self-induced by intellectually disabled patients. Rare reflex epilepsies are associated with seizures precipitated by a variety of complex stimuli such as eating, reading, music, and water baths. Somatosensory- or movement-induced seizures can occur in patients with epilepto-genic zones in perirolandic regions, while ictal episodes associated with any modality of startle can occur with epilepsies due to extensive brain damage.
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