Advertisement

Benign Childhood Focal Epilepsy

  • Thalia Valeta
Chapter

Abstract

Benign (or self-limited) childhood focal epilepsy affects otherwise normal children and includes three epileptic syndromes: rolandic epilepsy (or epilepsy with centrotemporal spikes), Panayiotopoulos syndrome and childhood occipital epilepsy of Gastaut. These syndromes affect 25% of children with non-febrile seizures. Epileptic seizures are focal with sensory-motor symptoms in rolandic epilepsy, autonomic symptoms in Panayiotopoulos syndrome, and visual/occipital lobe symptoms in childhood occipital epilepsy of Gastaut. EEG is very useful. Prophylactic treatment may not be needed. Parental education and psychological support is the most important aspect of management. All seizures stop usually in the mid-teens.

Keywords

Rolandic epilepsy Panayiotopoulos syndrome Childhood occipital epilepsy of Gastaut Centrotemporal spikes Occipital spikes Autonomic seizures 

References

  1. 1.
    Panayiotopoulos CP, Michael M, Sanders S, Valeta T, Koutroumanidis M. Benign childhood focal epilepsies: assessment of established and newly recognized syndromes. Brain. 2008;131:2264–86.CrossRefGoogle Scholar
  2. 2.
    Panayiotopoulos CP, Bureau M, Caraballo RH, Dalla Bernardina B, Valeta T. Idiopathic focal epilepsies in childhood. In: Bureau M, Genton P, Dravet C, Delgado-Escueta AV, Tassinari CA, Thomas P et al., editors. Epileptic syndromes in infancy, childhood and adolescence, 5th ed. with video. Montrouge: John Libbey Eurotext; 2012; p. 217–254.Google Scholar
  3. 3.
    Valeta T. Psychosocial aspects, parental reactions and needs in idiopathic focal epilepsies. Epileptic Disord. 2016;18:19–22.Google Scholar
  4. 4.
    Valeta T. Parental reactions in benign childhood focal seizures. Epilepsia. 2012;53(Supplem 5):222–3.Google Scholar
  5. 5.
    Valeta T. Parental attitude, reaction and education in benign childhood focal seizures. In: Panayiotopoulos CP, editor. The epilepsies: seizures, syndromes and management. Oxford: Bladon Medical Publishing; 2005. p. 258–61.Google Scholar
  6. 6.
    Valeta T, Panayiotopoulos CP. Treatment of classic syndromes in idiopathic focal epilepsies in childhood. J Pediatr Epilepsy. 2016;5:142–6.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Thalia Valeta
    • 1
    • 2
  1. 1.First Neurology and Psychiatry ClinicUniversity of Athens, Aeginition HospitalAthensGreece
  2. 2.Department of Clinical Neurophysiology and EpilepsiesSt. Thomas’ HospitalLondonUK

Personalised recommendations