Benign rolandic epilepsy and generalized paroxysms: A study of 13 patients

Vargas, Rodrigo; Beltran, Lucas; Lizama, Rafael; Valenzuela, Gabriela Reyes; Caraballo, Roberto

doi:10.1016/j.seizure.2018.03.004

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…RE can affect certain body parts like the face, mouth, and arms, and may cause speech issues [ 1 ]. Although RE usually does not directly cause dental issues, they may arise as a result of problems with speech disorders.…”

Section: Discussionmentioning

confidence: 99%

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Comprehensive Dental Management of a Rolandic Epilepsy Patient Under Local Anesthesia: A Case Report

Fatani¹,

Kalantan²,

Binhezaim³

et al. 2023

Cureus

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Dental treatment of epilepsy patients is often challenging and requires careful consideration of their sudden movements. Epilepsy patients often require sedation (e.g., nitrous oxide or intravenous sedation) to receive their required dental treatments. Rolandic epilepsy (RE) is a specific type of epilepsy in children with certain electroencephalogram (EEG) abnormalities and motor focal seizures with no signs of neurological deficits. This report discusses a case of an RE patient who was treated comprehensively under local anesthesia with careful evaluation of the patient's medical conditions.

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Section: Discussionmentioning

confidence: 99%

“…Rolandic epilepsy (RE) is a specific type of epilepsy in children that is characterized by specific electroencephalogram (EEG) abnormalities and motor focal seizures with no signs of neurological deficits [ 1 ]. The seizures in RE develop from an area in the brain called the rolandic area [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Comprehensive Dental Management of a Rolandic Epilepsy Patient Under Local Anesthesia: A Case Report

Fatani¹,

Kalantan²,

Binhezaim³

et al. 2023

Cureus

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“…In adults, the presence of focal seizure strongly implies an underlying focal structural lesion (e.g., stroke, brain tumor) 49–54 . In contrast in children with focal seizures, only 10 percent have brain tumors or strokes, and no focal structural lesion is present in the majority of patients, in with the seizure is either cryptogenic 55,56 or as the manifestation of an idiopathic disorder (benign rolandic epilepsy) 57–59 . The behavioral manifestations (seizure symptoms) of focal seizures relate not only to the region of the brain involved during the ictal discharge, but also to the maturity of the nervous system and the integrity of the pathways (neural circuit) necessary for clinical symptom's pattern 60–62 .…”

Section: Epilepsy and Its Clinical Evaluationmentioning

confidence: 99%

Potential surgical therapies for drug‐resistant focal epilepsy

et al. 2021

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Drug‐resistant focal epilepsy (DRFE), defined by failure of two antiepileptic drugs, affects 30% of epileptic patients. Epilepsy surgeries are alternative options for this population. Preoperative evaluation is critical to include potential candidates, and to choose the most appropriate procedure to maximize efficacy and simultaneously minimize side effects. Traditional procedures involve open skull surgeries and epileptic focus resection. Alternatively, neuromodulation surgeries use peripheral nerve or deep brain stimulation to reduce the activities of epileptogenic focus. With the advanced improvement of laser‐induced thermal therapy (LITT) technique and its utilization in neurosurgery, magnetic resonance‐guided LITT (MRgLITT) emerges as a minimal invasive approach for drug‐resistant focal epilepsy. In the present review, we first introduce drug‐resistant focal epilepsy and summarize the indications, pros and cons of traditional surgical procedures and neuromodulation procedures. And then, focusing on MRgLITT, we thoroughly discuss its history, its technical details, its safety issues, and current evidence on its clinical applications. A case report on MRgLITT is also included to illustrate the preoperational evaluation. We believe that MRgLITT is a promising approach in selected patients with drug‐resistant focal epilepsy, although large prospective studies are required to evaluate its efficacy and side effects, as well as to implement a standardized protocol for its application.

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“…Classically, patients with CECTS are developmentally normal with infrequent seizures that mostly occur during sleep. 12 Nevertheless, there is a relationship between epilepsy stigma and impaired health-related quality of life (HRQOL). 11,13 Additionally, recent sources of literature emphasize that age-dependent focal epilepsies can coexist with an underlying brain lesion, causing motor impairments such as cerebral palsy (CP).…”

Section: Introductionmentioning

confidence: 99%

Comparative assessment of health-related quality of life with and without anticonvulsant therapy in patients with childhood epilepsy with centrotemporal spikes

Nagae

Aringazina

et al. 2021

J Int Med Res

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Objective To estimate anti-seizure medication (ASM) treatment burden and its effects on health-related quality of life (HRQOL) in new-onset childhood epilepsy with centrotemporal spikes (CECTS) using different treatment approaches in Kazakhstan. Methods Forty-three patients were followed prospectively during 2015 to 2020 for at least 2 years. Patients were divided into three groups: (1) history of ≤3 seizures (n = 32); (2) ≥4 seizures (n = 6); (3) cerebral palsy coexisting with CECTS (n = 5). The first group was subdivided into treated (n = 8) and observed (n = 24) subgroups. The shortened Quality of Life in Childhood Epilepsy Questionnaire (QOLCE-55) was completed by parents after 6 months of follow-up. Results At the end of the study, all children had a sustained remission from seizures for at least 2 years. Differences were identified in emotional, social, and physical subscales between patients in the low seizure frequency group. Signs of low self-esteem, anxiety, depression, limited social interaction owing to pharmacotherapy, painful medical procedures, and stigma were reasons for decreased HRQOL in the treated subgroup. Overall HRQOL in treated (89.2 ± 5.2) patients was significantly decreased compared with observed children with low seizure frequency (98.0 ± 3.0). Conclusion ASM therapy does not necessarily improve and may decrease HRQOL in children with low seizure frequency CECTS.

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Benign rolandic epilepsy and generalized paroxysms: A study of 13 patients

Cited by 6 publications

References 14 publications

Comprehensive Dental Management of a Rolandic Epilepsy Patient Under Local Anesthesia: A Case Report

Comprehensive Dental Management of a Rolandic Epilepsy Patient Under Local Anesthesia: A Case Report

Potential surgical therapies for drug‐resistant focal epilepsy

Comparative assessment of health-related quality of life with and without anticonvulsant therapy in patients with childhood epilepsy with centrotemporal spikes

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