18 F-FDG PET Brain Findings in a Case of Idiopathic Benign Rolandic Epilepsy of Childhood

Idiopathic benign rolandic epilepsy, also known as benign childhood epilepsy with centrotemporal spikes (BCECTS), is one of the commonly seen electroclinical epilepsy syndromes of childhood with a generally favorable long-term prognosis. We describe a 5-year-old female child who presented with recur...

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Bibliographic Details
Published inWorld journal of nuclear medicine Vol. 22; no. 1; p. 52
Main Authors Vankadari, Kousik, Kumar, Rajender, Mittal, Bhagwant Rai, Sankhyan, Naveen
Format Journal Article
LanguageEnglish
Published Germany 01.03.2023
Subjects
18 F-FDG
centrotemporal spikes
childhood epilepsy
rolandic epilepsy
BCECTS
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Summary:Idiopathic benign rolandic epilepsy, also known as benign childhood epilepsy with centrotemporal spikes (BCECTS), is one of the commonly seen electroclinical epilepsy syndromes of childhood with a generally favorable long-term prognosis. We describe a 5-year-old female child who presented with recurrent focal seizures involving right side of face since the age of 6 months. She had no perinatal or postnatal insults, had normal development, and her neurological examination was unremarkable. Electroencephalogram showed rolandic spikes, suggesting BCETCS. Her seizures remained refractory to two appropriately dosed antiepileptic drugs. Magnetic resonance imaging of the brain did not reveal any structural lesion. Interictal fluorodeoxyglucose F-positron emission tomography brain showed hypometabolism in the left lower rolandic region.
ISSN:1450-1147