Benign Childhood Focal Epilepsy
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.
KeywordsRolandic epilepsy Panayiotopoulos syndrome Childhood occipital epilepsy of Gastaut Centrotemporal spikes Occipital spikes Autonomic seizures
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