Benign Rolandic epilepsy
• Presentation
- Age: 3 to 13 years (more frequently ages 7 to 8)
- Seizures types:
* Mainly nocturnal seizures
* Mouth sensation or movements
* Speech arrest
* Increased drooling
* Rare tonic-clonic seizures (unilateral: one side)
• Diagnosis:
- On EEG: centro-temporal spikes(sharp waves over the central temporal regions of the brain)
• Causes:
- Genetic causes: genetic component. Runs in families
• Prognosis:
- Development: normal
- Could have some mild cognitive problems
- Excellent, remission by adolescence
• Treatment
- Only when:
* Happens during sleep
* Affects cognition
* Repetitive seizures