Benign childhood Epilepsy with CentroTemporal Spikes (=BECTS) or Rolandic epilepsy

From EEGpedia
Revision as of 10:03, 13 July 2017 by EEGpedia (Talk | contribs)

(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to: navigation, search

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