Seizures in self-limited epilepsy with centrotemporal spikes: video-EEG documentation

• Published in: Child's nervous system Vol. 36; no. 9; pp. 1853 - 1857
• Main Authors: Ferrari-Marinho, Taissa, Hamad, Ana Paula Andrade, Casella, Erasmo Barbante, Yacubian, Elza Marcia Targas, Caboclo, Luis Otavio
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2020
• Subjects: Carbamazepine - therapeutic use; Child; Documentation; Electroencephalography; Epilepsy, Rolandic - complications; Epilepsy, Rolandic - diagnosis; Epilepsy, Rolandic - drug therapy; Humans; Male; Medicine; Medicine & Public Health; Multimedia Article; Neurosciences; Neurosurgery; Seizures - complications; Seizures - diagnosis; Focal seizure; Self-limited epilepsy with centrotemporal spikes; Rolandic seizure; Video-EEG
• ISSN: 0256-7040; 1433-0350
• DOI: 10.1007/s00381-020-04763-8

Purpose Self-limited epilepsy with centrotemporal spikes, formerly called benign epilepsy with centrotemporal spikes, or rolandic epilepsy, is an age-related and well-defined epileptic syndrome. Since seizures associated with rolandic spikes are infrequent and usually occur during sleep, and repetitive or prolonged EEG recording for diagnostic purposes is not necessary for diagnosis, reports of ictal video-electroencephalographic seizures in this syndrome are rare. We aimed to show ictal video-EEG of typical rolandic seizures. Methods We report the ictal video-EEG recordings of two children with rolandic epilepsy who presented typical rolandic seizures during routine recording. Results Case 1: A 9-year-old boy, with normal development, had his first seizure at 8 years old, characterized by paresthesia in his left face, blocking of speech, and drooling. Carbamazepine was started with seizure control. Case 2: A 10-year-old boy, with normal development, started with focal seizures during sleep, characterized by eye and perioral deviation, and speech arrest at age of 7. He started using oxcarbazepine. Both patients underwent routine electroencephalography for electroclinical diagnosis and presented a seizure. Conclusion Although self-limited epilepsy with centrotemporal spikes is a very common epileptic syndrome, seizure visualization is very difficult, and these videos may bring didactical information for recognition of this usual presentation of benign childhood focal epilepsy.