Neurology Book


Rolandic Epilepsy

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

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