II. Epidemiology
- Onset in mid-childhood
- Family History of Rolandic Seizure: 25% of cases
- Occurs more in males
III. Symptoms
- Nocturnal Seizure
- Begins in face
- Variable generalization to tonic-clonic Seizure
- May present as Status Epilepticus
IV. Signs
- Normal exam
- Normal intelligence
V. Diagnosis: Electroencephalogram (EEG)
- Centrotemporal spikes
- Usually unilateral involvement
VI. Management: Prophylaxis
- Reserve prophylaxis if possible
VII. Course
- Majority of patients are Seizure-free after 5 years