Status Epilepticus in Benign Rolandic Epilepsy Manifesting as Anterior Operculum Syndrome

Colamaria, V.; Sgro, V.; Caraballo, Roberto; Simeone, M; Zullini, E.; Fontana, Elena; Zanetti, Rossella; R, Grimau-Merino; Bernardina, Bernardo Dalla

doi:10.1111/j.1528-1157.1991.tb04659.x

Cited by 78 publications

(46 citation statements)

References 15 publications

(15 reference statements)

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“…Steroids were discontinued over the next month, and both children showed normal neuropsychological development at follow-up. Other authors have described children with prolonged speech and oromotor dysfunction, most of whom had a prior diagnosis of BECT (22)(23)(24)(25). Some of these children manifested intermittent facial twitching during the period of oromotor and speech abnormality.…”

Section: S32 Benign Rolandic Epilepsy Of Childhood S33mentioning

confidence: 99%

Benign Epilepsy of Childhood With Centrotemporal Spikes

1998

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Summary: Benign epilepsy of childhood with centrotemporal spikes (BECT) is the most common partial epilepsy syndrome in the pediatric age group, with an onset between age 3 and 13 years. The typical presentation is a partial seizure with paresthesias and tonic or clonic activity of the lower face associated with drooling and dysarthria. Seizures commonly occur at night and may become secondarily generalized. They are usually infrequent and may not require antiepileptic drugs but, if treated, they tend to be easily controlled. Children with BECT are neurologically and cognitively normal. The EEG shows characteristic high‐voltage sharp waves in the centrotemporal regions, which are activated with drowsiness and sleep. In this typical form, BECT is easily recognized. However, atypical cases are common and the definition of BECT can become blurred. Although further investigations are not required in cases with typical clinical and EEG findings and normal neurologic examinations, neuroimaging studies may be required in atypical cases to rule out other pathology. The long‐term medical and psychosocial prognosis of BECT is excellent, with essentially all children entering long‐term remission by mid‐adolescence.

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Section: S32 Benign Rolandic Epilepsy Of Childhood S33mentioning

confidence: 99%

Benign Epilepsy of Childhood With Centrotemporal Spikes

1998

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“…His speech (which was also slow like his oromotor movements) seemed slower than before, although this could not be quantified. He could be considered as having an 'a minima' opercular syndrome (Colamaria et al 1991). Treatment was not judged necessary.…”

Section: Children With Worsening Paroxysmal Eeg Activitymentioning

confidence: 99%

Benign partial epilepsy of childhood: a longitudinal neuropsychological and EEG study of cognitive function

Deonna¹,

Zesiger²,

Davidoff³

et al. 2000

Develop Med Child Neuro

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The study combined prospective neuropsychological and EEG results of 22 children presenting with typical benign partial epilepsy with rolandic spikes (n=19) and occipital spikes (n=3). The aims were to assess the types of cognitive problems which may be encountered in this population, to evaluate the course of cognitive and learning capacities during the active phase of epilepsy, and to see if there was a correlation with paroxysmal activity on the EEG. Average age at entry in the study was 8.4 years and each child was seen two to four times over a period of 1 to 3 years. EEGs showed persistent spike foci in most cases that worsened in three cases, but there were no continuous spike-waves during sleep. No child had persistent stagnation, marked fluctuations, or a regression in cognitive abilities. Of 22 children, 21 had average IQ (>80). Eight children had school difficulties requiring special adjustment. No single cognitive profile was identified. Four children had delayed language development and eight children had transient weak scores in one isolated domain (verbal, visuospatial, memory) which improved or normalized during the course of the study with concomitant EEG improvement or normalization. In two of the three children with aggravation of the paroxysmal EEG activity, clinical changes were documented. A proportion of children with typical benign partial epilepsy with rolandic spikes showed mild, varied, and transient cognitive difficulties during the course of their epilepsy, and in most cases this probably had a direct relation with the paroxysmal EEG activity

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“…There are few reports in the literature during the ictal phase 5,6,12,15 and only one paper during a diurnal seizure 13 . We are aware of four publications of BECT during a "status epilepticus" 3,5,916 and of one case with ictal dipole reversal 12 .…”

Section: Reversão De Dipolo: Um Achado Crítico Em Um Paciente Com Epimentioning

confidence: 99%

Dipole reversal: an ictal feature in a patient with benign partial epilepsy of childhood with centrotemporal spike

Silva

Lima²,

Anghinah³

et al. 1995

Arq. Neuro-Psiquiatr.

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SUMMARY -We describe the case of a 15-year-old boy who had the diagnosis of benign partial epilepsy of childhood with centrotemporal spike. During the EEG a subclinical electrographic seizure was recorded. The discharges were clearly electropositive in T4 with positive phase reversal between derivations F8-T4 and T4-T6. The whole episode lasted less than one minute (45 sec). The interictal right medio-temporal spikes reemerged after 60 sec and were electronegative in the same location after the end of the electrographic seizures. The mechanisms underlying this uncommon pattern on EEG is not well stablished.KEY WORDS: EEG, dipole reversal, benign partial epilepsy of childhood with centrotemporal spike. Reversão de dipolo: um achado crítico em um paciente com epilepsia parcial benigna da infância com ponta centrotemporalRESUMO -Relatamos o caso de um menino de 15 anos com o diagnóstico de epilepsia parcial benigna da infância com ponta centrotemporal. Durante o EEG uma crise eletrográfica subclínica foi gravada. As descargas estavam eletropositivas em T4 com reversão de fase positiva entre as derivações F8-T4 e T4-T6. O episódio durou menos que um minuto (45 seg). As espículas inter-ictais, na região temporal média direita, reapareceram 60 seg após e estavam eletronegativas na mesma região depois do término da crise eletrográfica. O mecanismo subjacente a este padrão incomum no EEG não está bem estabelecido. PALAVRAS-CHAVE: EEG, reversão de dipolo, epilepsia parcial benigna da infância com ponta centrotemporal.During the last years an epileptic syndrome, associated with rolandic spikes, was recognized and it is known as benign partial epilepsy of childhood with centro-temporal spikes (BECT) 7 , also termed benign rolandic epilepsy 17 . There are few reports in the literature during the ictal phase 5,6,12,15 and only one paper during a diurnal seizure 13 . We are aware of four publications of BECT during a "status epilepticus" 3,5,916 and of one case with ictal dipole reversal 12 .We report an ictal feature on the EEG with dipole reversal in BECT.

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Status Epilepticus in Benign Rolandic Epilepsy Manifesting as Anterior Operculum Syndrome

Cited by 78 publications

References 15 publications

Benign Epilepsy of Childhood With Centrotemporal Spikes

Benign Epilepsy of Childhood With Centrotemporal Spikes

Benign partial epilepsy of childhood: a longitudinal neuropsychological and EEG study of cognitive function

Dipole reversal: an ictal feature in a patient with benign partial epilepsy of childhood with centrotemporal spike

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