Disease Information for Rolandic epilepsy

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Clinical Manifestations
Signs & Symptoms
Stereotypical Recurrent Attacks
Facial grimacing
Abnormal movements/involuntary
Aphasia
Clonic facial movements
Dysphasia
Intelligence normal
Neurologic manifestations/signs
Postictal depression/sedation effects
Seizures
Seizures/Children/recurrent
Tonic posture/stiffening
Episodic symptoms/events
Nocturnal awakenings Events Phenomenon
Clinical Presentation & Variations
Presentation/Child Nocturnal Grimacing Aphasia Wakening
Disease Progression
Course/Acute
Course/Chronic disease crisis/flare/attacks
Course/Chronic disorder
Course/Chronic only
Course/Circadian rhythm, same time event/flair
Course/Improves with time/growth/development
Course/No sequelae expected
Course/Paroxysmal
Course/Periodic Episodic
Course/Recurrent
Course/Recurrent illness pattern
Course/Relapsing
Course/Self limited usually
Onset/Abrupt/Sudden
Demographics & Risk Factors
Population Group
Child
Population/Pediatrics population
Family History
Family history/Nerve disease
Sex & Age Groups
Population/Child
Population/Child-Infant Only
Population/Children/all
Population/Preschool child
Population/Young child ('Twos')
Diagnostic Test Results
Electrodiagnosis
EEG/Abnormality
EEG/Focal abnormality
EEG/Seizure activity abnormality
EEG/Seizure focus Sylvian/Rolandic area
EEG/Spike/wave discharge temporal area
Associated Diseases & Rule outs
Associated Disease & Complications
Convulsions (grand mal)
Epilepsy
Partial complex seizure
Rolandic epilepsy
Seizure disorder (epilepsy)
Disease Mechanism & Classification
Class
CLASS/Pediatric disorders (ex)
CLASS/Neurologic (category)
Pathophysiology
Pathophysiology/Genomic indentifiers (polymorphism/snip/mutations)
Pathophysiology/Epileptiform/epileptic disorder
Pathophysiology/NO Neurologic complications occur
Process
PROCESS/Congenital/developmental (category)
PROCESS/Episodic disorder (ex)
PROCESS/Hereditary/Genetic predisposition (ex)
PROCESS/Hereditofamilial (category)
Synonyms
Synonym
BECTS, Benign Childhood Epilepsy With Centro Temporal Spikes, Benign childhood epilepsy with centrotemporal spike, Benign Epilepsy Childhood Centrotemporal Spikes, BENIGN EPILEPSY OF CHILDHOOD WITH CENTROTEMPORAL SPIKES, Benign Rolandic Epilepsy, Benign Rolandic epilepsy (disorder), Benign Rolandic Epilepsy of Childhood, Bnign chhd ep and cntro tmp spik, Centralopathic Epilepsies, CENTRALOPATHIC EPILEPSY, Centrotemporal Epilepsies, CENTROTEMPORAL EPILEPSY, ECT, Epilepsies Centralopathic, Epilepsies Centrotemporal, Epilepsies Rolandic, Epilepsy Benign Rolandic, Epilepsy Centralopathic, Epilepsy Centrotemporal, Epilepsy Rolandic, Epilepsy Rolands, Epilepsy Sylvian, Rolandic Epilepsies, Rolandic Epilepsy, Rolandic Epilepsy Benign, Rolands Epilepsy, Sylvian Epilepsy, Temporal central focal epilepsy, Temporal centrl focl epilepsy, Synonym/Benign focal epilepsy of childhood, Synonym/Benign Rolandic epilepsy/childhood, Synonym/BRE, Synonym/Sylvian seizures
Treatment
Drug Therapy - Indication
RX/Anticonvulsants
Definition

An autosomal dominant inherited partial epilepsy syndrome with onset between age 3 and 13 years. Seizures are characterized by PARESTHESIA and tonic or clonic activity of the lower face associated with drooling and dysarthria. The episodes tend to occur at night and may become secondarily generalized. In most cases, affected children are neurologically and developmentally normal. The electroencephalogram shows characteristic high-voltage sharp waves over the central temporal regions, which are more prominent during drowsiness and sleep. In general, seizures do not continue beyond mid-adolescence. (From Epilepsia 1998 39;Suppl 4:S32-S41)

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Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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