Benign epilepsy with centrotemporal spikes (BECTS)

Synonyms:

a.k.a. benign rolandic epilepsy

Diagnosis:

Clinical features pluse EEG

Clinical features:

Onset 5-10 years old., < 15 years old Resolves by age 16 years old
Nocturnal seizures with mouth movement & gurgling, may generalise

Findings on Investigations:

EEG: centro-temporal ‘rolandic’ sharp wave activity on normal background, increases during sleep. Has characteristic dipole

Treatment:

Carbamazepine CBZ
Valproate VPA, Lamotrigrine, oxacarbazepine
Remits after 16 years old.

Related articles: