Ictal visual hallucinations of numerals.

We studied three children with benign primary occipital epilepsy who had ictal numerical visual hallucinations. This unusual ictal event may occur in patients with left-sided, right-sided, or bilateral interictal spikes, and such attacks may begin in either occipital lobe. This event seems to be occipital, without limbic participation, although the ictal discharge may spread to limbic structures as the seizure evolves.