Variantes clínicas de epilepsia rolándica y su implicación en el pronóstico

Micó, Salvador Ibáñez; Fernández, Carlos Casas; Martínez, H.; Salcedo, E. Martínez; Párraga, F. Valera

doi:10.1016/j.nrl.2011.07.009

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…It should be noted, however, that some findings in this patient's history are uncommonly observed in BFEAS: the fact that he had multiple episodes of secondary generalized convulsive status epilepticus, and his difficulty in language learning. Nevertheless, both findings have been reported in patients with benign childhood epilepsy with centro‐temporal spikes (also known as Rolandic epilepsy) (Kramer et al ., 2002; Monjauze et al ., 2005; Fejerman, 2009; Ibanez Mico et al ., 2012).…”

Section: Discussionmentioning

confidence: 99%

The semiology of benign focal epilepsy with affective symptoms

Nascimento

Menezes

Simão

et al. 2017

Epileptic Disorders

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Benign focal epilepsy with affective symptoms (BFEAS) is a rare childhood epilepsy syndrome essentially characterized by “epileptic attacks with affective symptoms of a terrifying type”. Since the original description, approximately 50 cases have been reported. To our knowledge, however, none of the studies included video‐EEG data. Herein, we detail the electroclinical features of a neurodevelopmentally normal 9‐year‐old boy with epilepsy since the age of 2 years. His seizure semiology essentially consisted of nocturnal focal seizures featuring abrupt fear and autonomic phenomena (such as excessive sweating, repeated swallowing, and coughing), associated with impaired consciousness. These seizures were often secondary generalized, and he had multiple episodes of convulsive status epilepticus. He has been seizure‐free for the past year and a half on dual antiepileptic therapy with sulthiamine and valproate. His intellectual and social abilities are excellent (IQ of 116), although he does have difficulties particularly in language learning, and was recently diagnosed with phonological dyslexia with dysorthography. By presenting our patient's history and video‐EEG, we intend to further detail the semiology of seizures with affective symptomatology. [Published with video sequence on http://www.epilepticdisorders.com]

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Section: Discussionmentioning

confidence: 99%

The semiology of benign focal epilepsy with affective symptoms

Nascimento

Menezes

Simão

et al. 2017

Epileptic Disorders

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“…Patients occasionally experience generalized seizures. 2 , 3 Seizures typically occur during non-rapid eye movement sleep. 1 Electroencephalography (EEG) shows high-voltage spikes or spike-and-wave complexes in the centrotemporal region that may spread to the contralateral side.…”

Section: Introductionmentioning

confidence: 99%

“… 1 Electroencephalography (EEG) shows high-voltage spikes or spike-and-wave complexes in the centrotemporal region that may spread to the contralateral side. 2 …”

Section: Introductionmentioning

confidence: 99%

Factors Predicting Poor Response to Initial Therapy in Benign Childhood Epilepsy with Centrotemporal Spikes (BCECTS)

Park¹,

Eun²,

Eun³

et al. 2015

J Epilepsy Res

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Background and Purpose:Benign childhood epilepsy with centrotemporal spikes (BCECTS) is the most common pediatric focal epilepsy syndrome and typically has positive clinical outcomes. However, a few patients experience recurrent seizures, and therefore, require treatment with antiepileptic drugs (AEDs). This study aimed to identify risk factors associated with poor response to initial AED therapy in BCECTS patients.Methods:We retrospectively reviewed the files of 57 patients who were diagnosed with BCECTS between January 2008 and September 2013. Patients not being treated with AEDs have been excluded. We placed the patients into two groups: (1) patients using 1 AED, and (2) patients using 2 AEDs. Clinical characteristics were then collected from the medical records.Results:Of the 57 patients, 41 (72%) were successfully treated with 1 AED, and 16 (28%) required 2 AEDs to control seizures. Multiple logistic regression analysis indicated that seizure onset prior to age 5 (odds ratio [OR]: 5.65, 95% confidence interval [CI]: 1.41–22.68) and history of febrile seizures (OR: 4.97, 95% CI: 1.06–23.36) were independent risk factors for poor response to initial therapy (p<0.05). Response to AEDs was not associated with the presence of focal slowing or generalized epileptiform discharges on EEG, abnormalities on MRI of the brain, frequency of afebrile seizures before drug therapy, or family history of febrile seizures or epilepsy.Conclusions:This study revealed that 28% of patients with BCECTS experienced poor responses to initial AED therapy. Factors predicting poor response to the initial AED included onset of seizures prior to age 5 and history of febrile seizures.

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Variantes clínicas de epilepsia rolándica y su implicación en el pronóstico

Abstract: Unlike that published by some authors, we have not identified any poor outcome factors in patients with BECTS in this study, meaning that an accurate diagnosis correlates with a good prognosis and excellent neurological outcome.

Cited by 2 publications

References 8 publications

The semiology of benign focal epilepsy with affective symptoms

The semiology of benign focal epilepsy with affective symptoms

Factors Predicting Poor Response to Initial Therapy in Benign Childhood Epilepsy with Centrotemporal Spikes (BCECTS)

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