Difference between revisions of "Benign childhood Epilepsy with CentroTemporal Spikes (=BECTS) or Rolandic epilepsy"

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==EEG==  
 
==EEG==  
 
* Preferably EEG during sleep.
 
* Preferably EEG during sleep.
* Centrotemporal spike wave complexes, unilateral or bilateral, with high amplitudes.
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* Centrotemporal [[Spike slow wave complex]], unilateral or bilateral, with high amplitudes.
  
  
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''Author: Bas jongbloed, MD, neurology resident, ETZ, Tilburg''
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''Author: Bas Jongbloed, MD, neurology resident, ETZ, Tilburg''

Latest revision as of 09:03, 13 July 2017

Background

  • Around 15% of all childhood epilepsy
  • Mean debute of seizure at 7 years of age, with a spread 3-13 year. Stops at adolescence.
  • Seizures are usually low frequented, with 10-15% having only one seizure
  • Development is normal.

Clinics

  • Oropharyngeal motor seizures in 50%
  • Hypersalivation
  • Anarthria
  • Sometimes Jacksonian march up to generalized tonic clonic seizures/ status epilepticus.
  • Most frequent in sleap/ early morning.
  • Triggered by deprivation of sleep

EEG

  • Preferably EEG during sleep.
  • Centrotemporal Spike slow wave complex, unilateral or bilateral, with high amplitudes.



Rolandic epilepsy in a 7 year old girl, with centrotemporal spike wave complexes (average)

Rolandic epilepsy in a 7 year old girl (average) EEGpedia.png




Author: Bas Jongbloed, MD, neurology resident, ETZ, Tilburg