Seizure

Rolandic Epilepsy

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Rolandic Epilepsy

  • Epidemiology
  1. Onset in mid-childhood
  2. Family History of Rolandic Seizure: 25% of cases
  3. Occurs more in males
  • Symptoms
  1. Nocturnal Seizure
  2. Begins in face
  3. Variable generalization to tonic-clonic Seizure
  4. May present as Status Epilepticus
  • Signs
  1. Normal exam
  2. Normal intelligence
  1. Centrotemporal spikes
  2. Usually unilateral involvement
  • Management
  • Prophylaxis
  1. Reserve prophylaxis if possible
  • Course
  1. Majority of patients are Seizure-free after 5 years