Benign Focal Epilepsy Of Childhood 1

The syndrome of benign focal epilepsy of childhood, also referred to as benign rolandic epilepsy or benign childhood epilepsy with centrotemporal spikes,

is a common form of childhood epilepsy. The children are of normal intelligence, have a normal neurological examination, and present with sleep-related seizures. Approximately 75% of the seizures occur during sleep (Lerman and Kivity, 1975; Loiseau et al, 1973). The seizures are focal motor (usually involving the face and arm), present with oropharyngeal sensorimotor phenomena, or are generalized tonic-clonic in nature. The oropharyngeal seizures manifest as hypersalivation, guttural sounds, and mouth movements and at times sensations in the mouth (dryness or prickling tongue sensation). The interictal EEG is characterized by sharp waves with a stereotyped morphology and typically has a distribution in the centrotemporal region (Lombroso, 1967).

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